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Intractable epilepsy as the initial manifestation of neurosyphilis
T G Phan1, E R Somerville, S Chen
1Department of Neurology, Westmead Hospital, Sydney, NSW, Australia.
Epilepsia
|September 16, 1999
Abstract:
A 29-year-old man experienced intractable partial seizures as the initial manifestation of neurosyphilis. The diagnosis was made after the onset of dementia 9 months later. Both the epilepsy and dementia resolved with penicillin therapy. Syphilis should be considered in patients with adult-onset focal epilepsy, particularly if there is associated dementia. Treatment may be successful even when the diagnosis is delayed.