• Arch Pediatr · Jan 2008

    Case Reports

    [Acute hemiparesis revealing a neuroborreliosis in a child].

    • C Rénard, S Marignier, Y Gillet, C Roure-Sobas, L Guibaud, V Des Portes, and L Lion-François.
    • Service de neurologie, hôpital Debrousse, 29, rue des Soeurs Bouvier, 69322 Lyon cedex 05, France.
    • Arch Pediatr. 2008 Jan 1; 15 (1): 41-4.

    AbstractWe report on a 11-year-old boy who had 2 acute hemiparesis episodes over a period of 1 month. He suffered from headache and fatigue since 1 year. He could not remember neither a tick bite nor a local erythematous skin lesion. The diagnosis of neuroborreliosis was based on intrathecal production of specifics antibodies. Furthermore, the CSF/blood glucose ratio was decreased (0.14), which was rarely described. Cranial MRI showed left capsulothalamic inflammation and a vasculitis. The patient was successfully treated by ceftriaxone. Neuroborreliosis should be considered in all children with stroke-like episode, even in the absence of a history of a tick bite.

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