title: Neurosyphilis presenting with status epilepticus.
abstract: BACKGROUND
  With the introduction of antibiotics, neurosyphilis is now considered uncommon, and accurate diagnosis sometimes is problematic as the symptoms and signs are not pathognomonic.
  
  
  RESULTS
  We present a 51-year-old man who had a 4-month history of general malaise and subtle cognitive impairment, combined with a normal brain image study, who ultimately developed an episode of status epilepticus as the main manifestation of unrecognized neurosyphilis.
  
  
  CONCLUSIONS
  Because a clinical diagnosis of neurosyphilis is rarely encountered today in the developed world, a high index of suspicion and clinician awareness is very important in early diagnosis.
authors.affiliation: Department of Neurology, Kaohsiung Medical University and Hospital, Kaohsiung, Taiwan, ROC.
authors.forename: Yang-Pei
authors.initials: YP
authors.lastname: Chang
authors.forename: Ruey-Tay
authors.initials: RT
authors.lastname: Lin
authors.forename: Ching-Kuan
authors.initials: CK
authors.lastname: Liu
authors.forename: Hai-Lun
authors.initials: HL
authors.lastname: Chao
authors.forename: A-Ching
authors.initials: AC
authors.lastname: Chao
mesh_terms: D005625:Frontal Lobe / Q000473:pathology / Q000821:virology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009494:Neurosyphilis / Q000150:complications* / Q000473:pathology; D013226:Status Epilepticus / Q000150:complications* / Q000473:pathology / Q000821:virology*; D015898:Tomography Scanners, X-Ray Computed