Neuropediatrics 2002; 33(1): 37-40
DOI: 10.1055/s-2002-23589
Short Communication

Georg Thieme Verlag Stuttgart · New York

Large Cerebral Vessel Occlusive Disease in Lyme Neuroborreliosis

R. Klingebiel1 , G. Benndorf2 , M. Schmitt3 , A. von Moers3 , R. Lehmann1
  • 1 Neuroradiology Section, Department of Radiology, Charité Campus Mitte, Humboldt University Berlin, Germany
  • 2 Department of Radiology, Charité Campus Virchow, Humboldt University Berlin, Germany
  • 3 Department of Pediatrics, Charité Campus Virchow, Humboldt University Berlin, Germany
Further Information

Publication History

Publication Date:
03 April 2002 (online)

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Abstract

We report on a 12-year-old, previously healthy girl with an acute hemiparesis as the predominant clinical manifestation of Lyme neuroborreliosis (LNB). The diagnosis of LNB was based on cerebrospinal fluid (CSF) studies, laboratory findings and the clinical course whereas the patient's history and the lack of characteristic skin lesions obscured the diagnosis in the beginning. After four weeks of antibiotic and physiotherapeutic treatment, the hemiparetic symptoms had completely resolved. Although evidence of vasculitic and perivascular inflammation in LNB has been described in the literature, large cerebral vessel occlusive disease represents a rare finding. Appropriate treatment strategies can lead to good clinical rehabilitation, as shown in this case, making the timely diagnosis a crucial issue. We conclude that LNB should be considered in every stroke-like episode of unknown origin in children, even in the absence of a history of a tick bite or typical skin lesions.

References

M. D. R. Klingebiel

Neuroradiology Section, Department of Radiology, Charité CM

Schumannstr. 20/21

10098 Berlin

Germany

Email: Randolf.Klingebiel@charite.de