General paresisOther namesGeneral paralysis of the insane, paralytic dementiaSpecialtyInfectious disease SymptomsEarlyNeurastheniapersonality changesmood swings, problems with memoryjudgment and concentration 
LaterDelusionsdementiatremorshyperreflexiaseizurescachexiaUsual onset10-30 years after initial infectionCausesMeningoencephalitis caused by syphilisRisk factorsUntreated syphilis infection