Upadhyaya S, Pant SB, Dhungana S, Tulachan P, Chapagai M, Ojha SP. Neuropsychiatric manifestations in General Paralysis of Insane (GPI).
Kathmandu Univ Med J (KUMJ) 2020;
18:207-209. [PMID:
33594034]
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Abstract
General paralysis of insane is a form of neurosyphilis which brings parenchymatous changes in the central nervous system. Its manifestations include a variety of neuropsychiatric symptoms ranging from cognitive impairment to overt psychosis. Clinicians face difficulties in proper diagnosis as variety of symptoms changes from one form to other within a short period of time. Rarity of the disease at this modern era of penicillin is also another factor in timely diagnosis and management of such cases. Here we present a case of general paralysis of insane who presented with variety of neuropsychiatric symptoms and have had great difficulties to reach into the diagnosis.
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