Walking Trouble & A Curious Gaze

A man presents with Ataxia and urinary incontinence. His pupils don’t react to light but constrict on accommodation. Explore this classic neurological case.

Tabes dorsalis


A man presented with difficulty walking and urinary incontinence. On examination, his pupils were nonreactive to bright light but constricted when focusing on a near object. What is the diagnosis?

What is the most likely diagnosis?

Multiple sclerosis
Tabes dorsalis
Parinaud’s syndrome
Sarcoidosis
Horner’s syndrome

Argyll Robertson pupil, Ataxia, Dorsal column, Neurosyphilis, Tabes dorsalis

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