General paresisOther namesGeneral paralysis of the insane, paralytic dementiaSpecialtyInfectious disease SymptomsEarly: Neurasthenia, personality changes, mood swings, problems with memory, judgment and concentration 
Later: Delusions, dementia, tremors, hyperreflexia, seizures, cachexiaUsual onset10-30 years after initial infectionCausesMeningoencephalitis caused by syphilisRisk factorsUntreated syphilis infection