) Finally progressive spastic paraplegia with sensory loss below the level of the lesion. CSF -Mild or moderate lymphocytic pleocytosis, protein conte

Spinal gumma - Symptoms of rapidly growing spinal tumour. 8. Syphilitic amyotrophy - Closely resembles idiopathic progressive muscular atrophy or amyotrophic lateral sclerosis. Sensory loss absent or minimal. Pain in the affected limb may occur at onset and is sometimes severe. VDRL test positive Anti-syphilitic treatment arrests progress of the disease. 7. Radiculitis - Syphilis usually affects the posterior roots which gives rise to pain of segmental distribution. If anterior roots are affected, there is weakness and wasting of the segmental muscles. 8. Pseudotabes - Onset 18 months to 5 years after primary infection. Presents with root pains, absent deep reflexes and bladder disturbances. No AR pupils. III. Parenchymatous Neurosyphilis General Paresis of the Insane (GPI) CLINICAL FEATURES: Stages: 1. Incipient stage -Presenting symptoms often vague as in dementing illness, ill-defined personality changes with irritability and forgetfulness, poor concentration, headaches and weight loss. 2. Period of full development of psychosis - Multiform psychic pictures - (a) Simple demented type - Memory defect, impairment of judgement and lability of mood going on to imbecility. (b) Grandiose type - Sense of euphoria and expressions of delusions of grandeur.