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Cerebrovascular diseases · Jan 2008
Review Case ReportsCerebral vasculitis and stroke in Lyme neuroborreliosis. Two case reports and review of current knowledge.
- Raffi Topakian, Karl Stieglbauer, Karin Nussbaumer, and Franz T Aichner.
- Department of Neurology, Academic Teaching Hospital Wagner-Jauregg, Linz, Austria. raffi.topakian@hotmail.com
- Cerebrovasc. Dis. 2008 Jan 1; 26 (5): 455-61.
AbstractWe report on 2 patients with cerebral vasculitis and stroke due to Lyme neuroborreliosis (LNB). Both patients had a prodromal stage involving headaches, and showed meningeal enhancement in addition to ischemic infarctions on brain magnetic resonance imaging and diffuse vasculitis on vascular imaging. Serological and cerebrospinal (CSF) fluid studies confirmed the diagnosis of active LNB. Ceftriaxone for 3 weeks led to an excellent recovery and improvements in the CSF examination findings. Stroke physicians should be aware of this rare presentation of LNB. A review of the current knowledge on cerebral vasculitis due to LNB is provided.2008 S. Karger AG, Basel.
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