62-Year-Old Man With Back Pain and Lower Extremity Weakness

Neurosyphilis Masquerading as Guillain–Barre Syndrome

“…Both patients initially presented with hyporeflexia or areflexia possibly because of seeking medical attention later in the course of their disease. The cases were similar to ours in that our patient displayed areflexia during her follow-up visit and each patient presented with leg weakness along with sensory changes that lasted well beyond 6 weeks (3,4). Instead of an IVIG infusion, plasma exchange was attempted in one of the reports, with no improvement in symptoms.…”