Abstract
Abstract Symptomatic Neurosyphilis can have varied syndromic presentations classically categorized as meningeal, meningovascular and parenchymatous syphilis. Nowadays parenchymatous Neurosyphilis rarely presents in its classical forms, tabes dorsalis and general paresis and often presents with atypical forms. There are reports by Roberts and Emsley of failure of diagnosis of Neurosyphilis due to low index of suspicion. Here we describe a case of Neurosyphilis initially presenting with altered mental status that was treated by psychiatrists for several months till he developed epilepsia partialis continua.
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