Symptomatic treatment is required for existing neurologic damage. Emergency treatment of seizures may be required. Anticonvulsants such as phenytoin may be needed to control seizures. Assistance or supervision with such activities as eating and dressing may be needed if patients are unable to care for themselves. Physical therapy, occupational therapy, or other interventions may be appropriate for people with muscle weakness .
Progressive disability is likely.
People with late syphilis infections are more prone to the development of other infections and diseases. Calling Your Health Care Provider Call your health care provider if the symptoms of general paresis are present, particularly if there is a known history of syphilis infection. Prevention Adequate treatment and follow-up of primary syphilis and secondary syphilis infections will prevent general paresis. Safer sex practices such as limiting partners and use of protective barriers when in contact with potentially infectious material may reduce the risk of developing the initial syphilis infection. The information provided herein should not be used for diagnosis or treatment of any medical condition.