![](/images/graphics-bg.png)
Stroke as an Unusual First Presentation of Lyme Disease
Joint Authors
Almoussa, Mohamad
Goertzen, Angelika
Fauser, Barbara
Zimmermann, Christoph W.
Source
Case Reports in Neurological Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-16
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Lyme neuroborreliosis is a nervous system infection caused by spirochete Borrelia burgdorferi with diverse neurological complications.
Stroke due to cerebral vasculitis is a rare consequence of neuroborreliosis and has been described in just a few case reports.
Case Presentation.
Here, we report the case of a 43-year-old patient who presented with discrete left-sided hemiparesis and amnestic cognitive impairment.
Brain magnetic resonance imaging showed a thalamic infarct, and serological and cerebrospinal fluid (CSF) tests confirmed the diagnosis of active neuroborreliosis.
The antibiotic treatment with intravenous ceftriaxone for three weeks led to an improvement of the symptoms and remarkable regression of radiological findings, but not to full recovery of the amnestic cognitive disorder.
Conclusion.
Lyme neuroborreliosis should be suspected in patients with cerebrovascular events without obvious risk factors, especially those living in endemic areas such as northern Europe or those who have been exposed to ticks and those with clinical or radiological findings suggesting Lyme neuroborreliosis, in order to establish the diagnosis and start a proper antibiotic therapy.
American Psychological Association (APA)
Almoussa, Mohamad& Goertzen, Angelika& Fauser, Barbara& Zimmermann, Christoph W.. 2015. Stroke as an Unusual First Presentation of Lyme Disease. Case Reports in Neurological Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059021
Modern Language Association (MLA)
Almoussa, Mohamad…[et al.]. Stroke as an Unusual First Presentation of Lyme Disease. Case Reports in Neurological Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059021
American Medical Association (AMA)
Almoussa, Mohamad& Goertzen, Angelika& Fauser, Barbara& Zimmermann, Christoph W.. Stroke as an Unusual First Presentation of Lyme Disease. Case Reports in Neurological Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059021
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059021