A PATIENT WITH NEUROSYPHILIS PRESENTING AS CHOREA

Despite the marked decline infrequency of neurosyphilis over the past three decades in the United Kingdom, new cases continue to appear both sporadically and as a complication of HIV infection. There is clinica l evidence that neurosyphilis is becoming less typical. We describe a case of neurosyphilis presenting predominantly with choreoathetosis an d associated hemiparesis in an otherwise healthy, immunocompetent pati ent. Only six cases of neurosyphilis presenting with features of basal ganglia damage have been reported in the recent literature, five of w hom had HIV infection.