NEUROSYPHILIS - various neuropsychic disorders in the clinical picture due to syphilitic damage to the vessels of the brain, its membranes or brain tissue. Syphilis of the brain is not a very frequent progressive disease, leading to dementia expressed to one degree or another. Due to the fact that there is currently an increase in the incidence of household syphilis, treatment is often carried out anonymously (i.e., without taking into account and reflection in statistics) and is not always brought to an end, it can be assumed after 5 - 7 years (the period that should pass after primary infection) increase in the number of patients in this profile.
Syphilis of the brain does not have specific clinical manifestations that would distinguish it from other organic lesions of the vascular, inflammatory or other genesis. Diagnosis is possible only taking into account neurological and serological data (Wasserman reaction in the blood and cerebrospinal fluid, Lange reaction), attempts to detect the phenomena of visceral syphilis. Various stages of syphilis of the brain are characterized (by the severity of the disease) asthenic disorders, epileptiform disorders, delirious and twilight disorders of consciousness, decreased memory and criticism of their behavior. Of delusions, delusions of persecution are most often noted, less often hypochondria, greatness, depressive, etc.
One of the diseases of the brain that develops as a result of its syphilitic lesion, progressive paralysis, is characterized by rapidly progressing mental disorders: total dementia , neurological symptoms and cachexia . Along with the more typical delirium of greatness, other variants of clinical manifestations are possible: delirious, depressive, euphoric with severe memory impairment. Mental disorders are usually combined with characteristic neurological symptoms and specific changes in the blood.
Complex therapy is carried out in a hospital (pyrotherapy in combination with one of the main anti-syphilitic drugs - bicillin-5) according to generally accepted schemes; Vitamin therapy is also used.