<prompt> Generalized paresis of Insane is seen in-Primary stageSecondary stageNeuro syphilisCongenital syphilis  <response>: The major clinical categories of symptomatic neurosyphilis include meningeal, meningovascular, and parenchymatous syphilis. The last category includes general paresisand tabes dorsalis. The onset of symptoms usually occurs 1 year after infection for meningeal syphilis, up to 10 years after infection for meningovascular syphilis, at 20 years for general paresis, and at 25-30 years for tabes dorsalis. Harrisons Principles of internal medicine, 20 th edition, page 1389 