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Orofacial Involuntary Movements in Neurosyphilis: Beyond the Candy Sign
Abhishek Lenka1,2, Naveen Thota2, Albert Stezin1,2
1Department of Clinical Neurosciences, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore-560029, Karnataka, India.
Background:
Involvement of the central nervous system in patients with syphilis (neurosyphilis) may result in several neuropsychiatric symptoms. Rarely, patients with neurosyphillis may develop movement disorders with different phenomenology. Subtle orofacial dyskinesias have been reported in patients with neurosyphilis, known as the candy sign.
Case Report:
We describe a patient with neurosyphilis who presented with severe orofacial involuntary movements.
Discussion:
Our patient had orofacial movements at presentation and severity of the movements was much higher than the candy sign that has been reported in patients with neurosyphilis. This report contributes towards the ever-expanding clinical spectrum of neurosyphilis.
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