Neurological findings of Lyme disease

Neurologic involvement of Lyme disease typically consists of meningitis, cranial neuropathy, and radiculoneuritis, alone or in combination, lasting for months. From 1976 to 1983, we studied 38 patients with Lyme meningitis. Headache and mild neck stiffness, which fluctuated in intensity, and lymphoc...

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Published inThe Yale journal of biology & medicine Vol. 57; no. 4; pp. 481 - 483
Main Authors Pachner, A.R, Steere, A.C
Format Journal Article
LanguageEnglish
Published United States Yale Journal of Biology and Medicine 01.01.1984
Subjects
Adolescent
Adult
Borrelia
Child
Cranial Nerve Diseases - diagnosis
Electromyography
Encephalitis - diagnosis
Humans
Lyme Disease - diagnosis
Meningitis - diagnosis
Middle Aged
nervous system diseases
Nervous System Diseases - diagnosis
Neural Conduction
Polyradiculoneuropathy - diagnosis
Spirochaetaceae
symptoms
tick-borne diseases
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Summary:Neurologic involvement of Lyme disease typically consists of meningitis, cranial neuropathy, and radiculoneuritis, alone or in combination, lasting for months. From 1976 to 1983, we studied 38 patients with Lyme meningitis. Headache and mild neck stiffness, which fluctuated in intensity, and lymphocytic pleocytosis were the common findings. Half of the patients also had facial palsies, which were unilateral in 12 and bilateral in seven. In addition, 12 patients had motor and/or sensory radiculoneuropathies; asymmetric weakness of extremities was the most common finding. Although incomplete presentations of neurologic involvement of Lyme disease may be confused with other entities, the typical constellation of neurologic symptoms represents a unique clinical picture.
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ISSN:0044-0086
1551-4056