1/18. encephalitis without meningitis due to sandfly fever virus serotype toscana.The role of Toscana (TOS) virus in producing encephalitis without meningitis is uncertain. We studied 2 cases of TOS virus encephalitis without meningitis by means of nested polymerase chain reaction assay and dna sequencing. Findings confirm that TOS virus may directly cause encephalitis and suggest the usefulness of dna sequencing in investigating relationships between TOS virus molecular patterns and the spectrum of neurological involvement.- - - - - - - - - - ranking = 1keywords = lyme (Clic here for more details about this article) |
2/18. dysarthria as the isolated clinical symptom of borreliosis--a case report.This report presents a case of dysarthria due to hypoglossal nerve mono-neuropathy as the only consequence of neuroborreliosis. The 65-year-old man with a seven-months history of articulation disturbances was examined. The speech of the patient was slow and laboured. A slight weakness of the muscles of the tongue (left-side) was observed. The patient suffered from meningitis due to borrelia burgdorferi infection in 1999 and initially underwent a successful antibiotic treatment. Detailed radiological investigation and psychological tests were performed and co-existing neurological diseases were excluded. To describe profile of speech abnormalities the dysarthria scale was designed based on S. J. Robertson dysarthria Profile. There were a few disturbances found in self-assessment of speech, intelligibility, articulation, and prosody but especially in the morphology of the articulation muscles, diadochokinesis, the reflexes (in the mouth, larynx and pharynx). Needle EMG examination confirmed the diagnosis of mono-neuropathy of left hypoglossal nerve. The study confirms the fact that neuroborreliosis may evoke chronic consequences.- - - - - - - - - - ranking = 201.80010383113keywords = burgdorferi (Clic here for more details about this article) |
3/18. Untreated neuroborreliosis: Bannwarth's syndrome evolving into acute schizophrenia-like psychosis. A case report.In general, meningopolyradiculitis (Bannwarth's syndrome, stage 2 of neuroborreliosis) follows a predictable monophasic self-limiting course. In contrast, we report the case of a patient with an untreated meningopolyradiculitis which evolved into acute schizophrenia-like psychosis due to persistent infection with borrelia burgdorferi. The psychosis resolved within 1 week of treatment with ceftriaxone. This case shows that the usually benign monophasic meningopolyradiculitis may progress to severe CNS complications, which may have implications on current pathophysiological beliefs.- - - - - - - - - - ranking = 201.80010383113keywords = burgdorferi (Clic here for more details about this article) |
4/18. Possible Lyme meningitis.lyme disease was first recognized in 1975 because of a cluster of patients with arthritis in the vicinity of Lyme, connecticut. Subsequently the arthritis was linked with erythema chronicum migrans (88%), cardiac (8%), and nervous system diseases (11%). By 1983, the etiology of the disease had been confirmed as an infection caused by a spirochete, borrelia burgdorferi, transmitted to man by the bite of a tick, ixodes dammini. Then it became apparent that this was the same disease reported as far back as the 1920's, known in europe as tick-borne meningeal polyneuritis, lymphocytic meningoradiculitis, or Bannwarth's syndrome. The usual presentation includes exposure to ticks or tick-infested areas of the Northeast, the characteristic rash, and then the neurological abnormalities, then the arthritis. This case is presented to illustrate the possible presence of the disease with no history of tick exposure, no travel to areas usually considered endemic and no characteristic rash.- - - - - - - - - - ranking = 201.80010383113keywords = burgdorferi (Clic here for more details about this article) |
5/18. Meningoradiculoneuritis mimicking vertebral disc herniation. A "neurosurgical" complication of Lyme-borreliosis.We report on 3 patients with meningoradiculoneuritis (MRN) due to Lyme-borreliosis (LB), which presented clinically as vertebral disc herniation. In 2 cases the underlying infection was discovered only after unsuccessful neurosurgical treatment. In the differential diagnosis between MRN and disc herniation the following criteria are suggestive of MRN and should raise suspicion of a non-discogenic aetiology: history of tick bite or erythema chronicum migrans, fever or general malaise, mono- or oligoradiculopathy with absent or insignificant lumbar pain and complaints of a burning character of the radiating pain. In suspicious cases we recommend blood investigations including antibody determination against borrelia burgdorferi and CSF investigations including cell count and cytology, protein and glucose determination, nephelometry and isoelectric focusing to exclude MRN and other conditions that may mimic disc herniation.- - - - - - - - - - ranking = 1414.8892548658keywords = borrelia burgdorferi, burgdorferi, borrelia (Clic here for more details about this article) |
6/18. Locked-in state in borrelia burgdorferi meningitis.The case is reported of a 28-year-old woman with persistent tetraplegia following acute meningitis due to borrelia burgdorferi infection. The patient developed erythema chronicum migrans before radicular pain occurred in the upper extremities. The poor clinical outcome was suggestive of pontine infarction due to vasculitis of branches of the basilar artery.- - - - - - - - - - ranking = 1009.0005191556keywords = burgdorferi (Clic here for more details about this article) |
7/18. meningitis due to borrelia burgdorferi in the initial stage of lyme disease.borrelia burgdorferi (B.b.) was isolated from cerebrospinal fluid from two children with aseptic meningitis. serology for B.b. was initially negative or borderline and became positive during the subsequent course. Children with aseptic meningitis of unknown origin should be re-evaluated within 1 month to detect possible increasing antibody titres to B.b. Aseptic meningitis may be a stage 1 manifestation of lyme disease.- - - - - - - - - - ranking = 1009.0005191556keywords = burgdorferi (Clic here for more details about this article) |
8/18. Lymphocytic meningoradiculitis and encephalomyelitis due to borrelia burgdorferi: a clinical and serological study of 18 cases.Clinical features of 18 patients with either lymphocytic meningoradiculitis (n = 17) or chronic encephalomyelitis (n = 1) due to borrelia burgdorferi are reported. Arthropod bites were recorded in only seven patients. High titres of anti B burgdorferi antibodies were detected in sera from all patients and in CSF from 12 out of 17 patients tested. All patients had CSF abnormalities especially pleocytosis and oligoclonal bands. A falsely positive syphilitic serology was observed in the CSF from the patient with encephalomyelitis.- - - - - - - - - - ranking = 1210.8006229868keywords = burgdorferi (Clic here for more details about this article) |
9/18. Borrelia meningoradiculitis with severe pains.A 54-year-old woman with severe pains in the region of the right arcus costalis is presented. This case was a great therapeutic and diagnostic problem during 4 weeks. A borrelia meningoradiculitis was finally diagnosed by detection of specific antibodies in the cerebrospinal fluid. Intravenous benzylpenicillin in combination with epidural morphine hydrochloride resulted in a dramatic relief of the severe pains.- - - - - - - - - - ranking = 98.898942613869keywords = borrelia (Clic here for more details about this article) |
10/18. Chronic muscle weakness caused by borrelia burgdorferi meningoradiculitis.A 19-year-old man developed chronic weakness of the lower limbs as the predominant manifestation of borrelia burgdorferi infection of the nervous system. Spirochetes were demonstrated in the cerebrospinal fluid. The condition resolved following intravenous penicillin treatment.- - - - - - - - - - ranking = 1009.0005191556keywords = burgdorferi (Clic here for more details about this article) |
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