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Neurosyphilis presenting with mesial temporal encephalitis and Argyll Robertson pupils: a diagnostic clue in the modern era

bmjcr · 2026-02-25 · canonical JSON source

1 visible annotations · policy: published · automated confidence ≥ 75.00%

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A man in his late 40s with no significant medical history was admitted after 3 weeks of progressive confusion, anterograde amnesia, misidentification of family members and recurrent panic episodes. On admission, he was disoriented to time and place, with a Montreal Cognitive Assessment (MoCA) score of 14/30 and Mini-Mental State Examination (MMSE) score of 15/30, showing marked impairment in recall and attention.