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Cerebral vasculitis and stroke in Lyme neuroborreliosis. Two case reports and review of current knowledge.
Cerebrovasc Dis. 2008; 26(5):455-61.CD

Abstract

We 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.

Authors+Show Affiliations

Department of Neurology, Academic Teaching Hospital Wagner-Jauregg, Linz, Austria. raffi.topakian@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

18810231

Citation

Topakian, Raffi, et al. "Cerebral Vasculitis and Stroke in Lyme Neuroborreliosis. Two Case Reports and Review of Current Knowledge." Cerebrovascular Diseases (Basel, Switzerland), vol. 26, no. 5, 2008, pp. 455-61.
Topakian R, Stieglbauer K, Nussbaumer K, et al. Cerebral vasculitis and stroke in Lyme neuroborreliosis. Two case reports and review of current knowledge. Cerebrovasc Dis. 2008;26(5):455-61.
Topakian, R., Stieglbauer, K., Nussbaumer, K., & Aichner, F. T. (2008). Cerebral vasculitis and stroke in Lyme neuroborreliosis. Two case reports and review of current knowledge. Cerebrovascular Diseases (Basel, Switzerland), 26(5), 455-61. https://doi.org/10.1159/000155982
Topakian R, et al. Cerebral Vasculitis and Stroke in Lyme Neuroborreliosis. Two Case Reports and Review of Current Knowledge. Cerebrovasc Dis. 2008;26(5):455-61. PubMed PMID: 18810231.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cerebral vasculitis and stroke in Lyme neuroborreliosis. Two case reports and review of current knowledge. AU - Topakian,Raffi, AU - Stieglbauer,Karl, AU - Nussbaumer,Karin, AU - Aichner,Franz T, Y1 - 2008/09/23/ PY - 2007/12/10/received PY - 2008/05/06/accepted PY - 2008/9/24/pubmed PY - 2009/1/24/medline PY - 2008/9/24/entrez SP - 455 EP - 61 JF - Cerebrovascular diseases (Basel, Switzerland) JO - Cerebrovasc Dis VL - 26 IS - 5 N2 - We 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. SN - 1421-9786 UR - https://www.unboundmedicine.com/medline/citation/18810231/Cerebral_vasculitis_and_stroke_in_Lyme_neuroborreliosis__Two_case_reports_and_review_of_current_knowledge_ L2 - https://www.karger.com?DOI=10.1159/000155982 DB - PRIME DP - Unbound Medicine ER -