Neurosyphilis presenting as new onset refractory status epilepticus: one of the multifarious faces of a great imitator.

BACKGROUND

Neurosyphilis can present in a myriad of ways, making the suspicion and diagnosis of this disease a great challenge for the clinician.

METHODS

We present a case of a 54-year-old patient who initially presented with cognitive changes and was eventually found to have new onset refractory status epilepticus.

RESULTS

Neurosyphilis is still a frequent entity nowadays, with involvement of both HIV positive and negative patients.

CONCLUSION

The presentation with new onset status epilepticus is rare and uncommon for neurosyphilis; however, its early identification and treatment could prevent further morbidity and mortality.