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Correspondence
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Volume 335:1159-1160 October 10, 1996 Number 15
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Cerebral Syphilitic Gumma in an HIV-Negative Patient Presenting as Prolonged Focal Motor Status Epilepticus

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To the Editor: The incidence of seizures in neurosyphilis ranges from 14 to 60 percent,1 with no reports of focal status epilepticus as a presenting complaint. We describe a patient in whom cerebral syphilitic gumma was the underlying cause of focal motor seizures.

A 47-year-old previously healthy right-handed man experienced a generalized seizure followed by continuous clonic movement of his right foot 24 hours before admission. His general physical examination was unremarkable. Neurologic evaluation revealed a normal Mini–Mental State Examination, no cranial-nerve deficits, normal strength, and continuous clonic movements of the right foot. There was no reflex asymmetry, and sensory . . . [Full Text of this Article]

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Cerebral Syphilitic Gumma
Quinn P., Weisberg L., Roeske L. C., Kennedy P. R., Suarez J. I., Mlakar D., Snodgrass S. M.
Extract | Full Text  
N Engl J Med 1997; 336:1027-1028, Apr 3, 1997. Correspondence

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