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Optic nerve lesion following neuroborreliosis: a case report.
Eur J Ophthalmol. 2001 Apr-Jun; 11(2):203-6.EJ

Abstract

PURPOSE

Neuroborreliosis may cause various neuro-ophthalmological complications. We describe a case with a bilateral optic neuropathy.

CASE REPORT

A 58-year-old female developed facial paresis six weeks after an insect bite. One week later she developed bilateral optic disc swelling with haemorrhages and nerve fibre bundle defects in the lower visual field of the left eye. In CSF and serum, raised IgM and IgG titres to Borrelia burgdorferi were found. Systemic antibiotic treatment led to improvement of the vision and facial paresis, but not all visual field defects resolved, probably due to ischemic lesions of the optic disc.

DISCUSSION/CONCLUSIONS

In optic nerve lesions due to neuroborreliosis it is difficult to distinguish between inflammatory and ischemic lesions. This patient demonstrated features of an ischemic optic nerve lesion.

Authors+Show Affiliations

Ahaus Eye Hospital, Germany. carsten@dr-burkhard.deNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11456029

Citation

Burkhard, C, et al. "Optic Nerve Lesion Following Neuroborreliosis: a Case Report." European Journal of Ophthalmology, vol. 11, no. 2, 2001, pp. 203-6.
Burkhard C, Gleichmann M, Wilhelm H. Optic nerve lesion following neuroborreliosis: a case report. Eur J Ophthalmol. 2001;11(2):203-6.
Burkhard, C., Gleichmann, M., & Wilhelm, H. (2001). Optic nerve lesion following neuroborreliosis: a case report. European Journal of Ophthalmology, 11(2), 203-6.
Burkhard C, Gleichmann M, Wilhelm H. Optic Nerve Lesion Following Neuroborreliosis: a Case Report. Eur J Ophthalmol. 2001 Apr-Jun;11(2):203-6. PubMed PMID: 11456029.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optic nerve lesion following neuroborreliosis: a case report. AU - Burkhard,C, AU - Gleichmann,M, AU - Wilhelm,H, PY - 2001/7/18/pubmed PY - 2002/1/5/medline PY - 2001/7/18/entrez SP - 203 EP - 6 JF - European journal of ophthalmology JO - Eur J Ophthalmol VL - 11 IS - 2 N2 - PURPOSE: Neuroborreliosis may cause various neuro-ophthalmological complications. We describe a case with a bilateral optic neuropathy. CASE REPORT: A 58-year-old female developed facial paresis six weeks after an insect bite. One week later she developed bilateral optic disc swelling with haemorrhages and nerve fibre bundle defects in the lower visual field of the left eye. In CSF and serum, raised IgM and IgG titres to Borrelia burgdorferi were found. Systemic antibiotic treatment led to improvement of the vision and facial paresis, but not all visual field defects resolved, probably due to ischemic lesions of the optic disc. DISCUSSION/CONCLUSIONS: In optic nerve lesions due to neuroborreliosis it is difficult to distinguish between inflammatory and ischemic lesions. This patient demonstrated features of an ischemic optic nerve lesion. SN - 1120-6721 UR - https://www.unboundmedicine.com/medline/citation/11456029/Optic_nerve_lesion_following_neuroborreliosis:_a_case_report_ L2 - http://journals.sagepub.com/doi/full/10.1177/112067210101100221?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -