General paresis
ICD-10 A52.17 is a billable code used to indicate a diagnosis of general paresis.
General paresis is a late manifestation of untreated syphilis, characterized by progressive neurological decline due to the infection's impact on the central nervous system. It typically presents with a combination of psychiatric symptoms, cognitive impairment, and motor dysfunction. Patients may exhibit personality changes, emotional instability, and cognitive deficits, including memory loss and difficulty concentrating. Neurologically, they may experience tremors, seizures, and other motor disturbances. The condition arises from the chronic effects of Treponema pallidum, the bacterium responsible for syphilis, leading to inflammation and damage in the brain and spinal cord. Diagnosis is often confirmed through serological testing for syphilis, alongside clinical evaluation of neurological symptoms. Treatment involves the administration of antibiotics, primarily penicillin, which can halt the progression of the disease but may not reverse existing neurological damage. Early detection and treatment of syphilis are crucial in preventing the development of general paresis.
Detailed neurological examination findings, including cognitive assessments and motor function tests.
Patients presenting with cognitive decline, personality changes, or seizures with a history of syphilis.
Neurologists must ensure comprehensive documentation of both neurological and psychiatric symptoms for accurate coding.
History of syphilis treatment, serological test results, and treatment response.
Patients with a known history of syphilis presenting with neurological symptoms.
Infectious disease specialists should document the timeline of syphilis treatment and any complications.
Used for follow-up visits for patients with general paresis.
Document history of present illness, review of systems, and neurological examination findings.
Neurologists should ensure comprehensive documentation of cognitive and motor assessments.
General paresis is primarily caused by untreated syphilis, specifically the chronic effects of the Treponema pallidum bacterium on the central nervous system.
