scholarly journals Neuroborreliosis – clinical presentation – Current state of knowledge

2019 ◽  
pp. 321-328 ◽  
Author(s):  
Katarzyna Krawczuk ◽  
Piotr Czupryna ◽  
Sławomir Pancewicz ◽  
Elżbieta Ołdak ◽  
Monika Król ◽  
...  
Keyword(s):  
Nervous System ◽  
Lyme Disease ◽  
Borrelia Burgdorferi ◽  
Peripheral Nervous System ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Clinical Course ◽  
Tick Bites ◽  
Current State ◽  
Adults And Children

Neuroborreliosis is one of the manifestations of Lyme disease involving central and peripheral nervous system. It is caused by infection with Borrelia burgdorferi spirochete which is transmitted by tick bites. Neuroborreliosis can affect both adults and children. The clinical course in children is often different than in adults. The article discusses the most common clinical symptoms, complications, diagnostics and treatment of neuroborreliosis in children.

scholarly journals AWARENESS OF LYME BORRELIOSIS OF THE PATIENTS OF TERNOPIL REGIONAL TB DISPENSARY

2017 ◽  
Author(s):  
L. P. Melnyk ◽  
L. A. Hryshchuk ◽  
M. Koziol–Montewka ◽  
P. S. Tabas ◽  
R. O. Klos
Keyword(s):  
Nervous System ◽  
Lyme Disease ◽  
Borrelia Burgdorferi ◽  
Lyme Borreliosis ◽  
Preventive Measures ◽  
Epidemiological Data ◽  
Sufficient Information ◽  
Tick Bites ◽  
The World ◽  
History Of

Background. Lyme disease has many clinical features similar tothose in sarcoidosis and tuberculosis. Epidemiological data in the world, in particular in Ukraine, proves the increase in Lyme borreliosis incidence. Ternopil region is endemic with Lyme borreliosis.Objective. The research was aimed to investigate the prevalence of infection with Borrelia burgdorferi and epidemiology features of borreliosis among the patients of Ternopil Regional TB Dispensary.Methods. In total, 29 patients were admitted to Departments of Differential Diagnostic, TB Therapy and TB Surgery of Ternopil Regional TB Dispensary in October 2016-January 2017. All the surveyed answered the questions of an integrated international questionnaire, where they noted the area and a number of tick bites, described the removal method, noted the survey for borreliosis pathogen and complaints after tick bites.Results. It was established that 5 respondents had a history of tick bites episodes, but only in one case the patient was examined of borreliosis. Tick bites were noticed in 3 patients with sarcoidosis and 1 with tuberculosis (TB) and exudative pleurisy, respectively.Conclusions. The absence of appeals for medical care, lack of sufficient information on Lyme borreliosis and disuse of preventive measures for tick bites by the interviewed patients of Ternopil regional TB dispensary departments proves the need of improvement of health education on Lyme borreliosis (LB) among this category of population. 24 (82.7%) of 29 respondents did not remember the tick bite. The symptoms of (LB) are similar to those in sarcoidosis and tuberculosis (pleural lesions, heart, joints, nervous system, skin), and the presence of tick bites gives the reasons to examine these patients of Borrelia burgdorferi senso lato.

scholarly journals Atypical presentation of Lyme neuroborreliosis related meningitis and radiculitis

2019 ◽  
Vol 11 (4) ◽  
Author(s):  
Iman Dabiri ◽  
Nicholas Calvo ◽  
Feryal Nauman ◽  
Mahsa Pahlavanzadeh ◽  
Ahmet Z. Burakgazi
Keyword(s):  
Nervous System ◽  
Lyme Disease ◽  
Literature Review ◽  
Peripheral Nervous System ◽  
Nerve Root ◽  
Clinical Presentation ◽  
Lyme Neuroborreliosis ◽  
Atypical Presentation ◽  
Neurologic Manifestations ◽  
Unique Case

Lyme disease related central and peripheral nervous system manifestations can occur in isolation or together. Radiculitis or inflammation of the nerve root can be seen 3-5% of the time in acute neuroborreliosis affecting the PNS with a typical presentation and meningitis affecting the CNS is usually seen 1% of the time. The appropriate diagnosis and management of neuroborelliosis can be challenging and require meticulous medical approaches. Herein we present a unique case of Lyme disease with neurologic manifestations including both radiculitis and meningitis due to its atypical and challenging clinical presentation and management with updated literature review.

scholarly journals Diabetic cervicobrachial radiculoplexopathy

2019 ◽  
Vol 11 (4) ◽  
pp. 160-165
Author(s):  
L. T. Akhmedzhanova ◽  
A. I. Isaikin ◽  
O. A. Chernenko ◽  
Yu. M. Shor ◽  
D. M. Merkulova ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Nervous System ◽  
Peripheral Nervous System ◽  
Clinical Features ◽  
Lipoic Acid ◽  
Clinical Case ◽  
Clinical Symptoms ◽  
Alpha Lipoic Acid ◽  
First Time ◽  
Damage Types

Peripheral nervous system (PNS) damage is one of the most common complications of diabetes mellitus. There may be different PNS damage types that differ in clinical symptoms and pathogenesis. A clinical case of diabetic cervicobrachial radiculoplexopathy is presented for the first time in Russia. The paper discusses the clinical features of this type versus diabetic lumbosacral radiculoplexopathy, instrumental diagnosis of diabetic radiculoplexopathies, pathogenetic mechanisms of the disease, and treatment approaches. It shows the efficacy of alpha-lipoic acid supplementation in a patient with diabetic radiculoplexopathy.

scholarly journals Present-day professional lead polyneuropathy — chronic demyelinating disease of peripheral nervous system

1997 ◽  
Vol XXIX (1-2) ◽  
pp. 64-67
Author(s):  
R. G. Obraztsova ◽  
J. I. Borzunova
Keyword(s):  
Nervous System ◽  
Peripheral Nervous System ◽  
Demyelinating Disease ◽  
Clinical Symptoms ◽  
Risk Group ◽  
Lead Content ◽  
High Positive Correlation ◽  
Upper And Lower Extremities ◽  
Working Day ◽  
Chronic Lead Intoxication

Relatively high positive correlation between lead content in biologic environment and indices of porphyrinic exchange in patients with neurogenic form of chronic polyneuropathy has been determined. In risk group such correlation was absent. Clinical symptoms, change in electric neuromyography, indices of porphyrinic exchange and lead content in biologic environment has been studied in 92 workers engaged in making lead and exposed to small average concentrations of it close to the limiting permissible concentration during the working day. Progression of chronic lead intoxication, the initial form of which clinically reveals in 124 years by vegetosensoric polyneuropathy of upper and lower extremities and intrinsic changes in electric neuromyography indices has been determined. Isolated symptoms of polyneuropathy and lowering of the indicated parameters of electric neuromyography by 510% are revealed in preclinical stage (risk signs). The nature of electric neuromyography changes points to segmental myelinopathy.

scholarly journals Lyme disease: New knowledge regarding its physiopathology, diagnosis, therapy and prevention

2002 ◽  
Vol 55 (5-6) ◽  
pp. 207-212
Author(s):  
Jovan Vukadinov ◽  
Sinisa Sevic ◽  
Grozdana Canak ◽  
Nadezda Madle-Samardzija ◽  
Vesna Turkulov ◽  
...  
Keyword(s):  
Lyme Disease ◽  
Borrelia Burgdorferi ◽  
Antigenic Variation ◽  
Clinical Symptoms ◽  
Epidemiological Studies ◽  
Lyme Arthritis ◽  
Major Protein ◽  
Selective Treatment ◽  
Multisystem Disease ◽  
New Guidelines

Introduction Lyme disease is a tick-borne disease caused by a spirochete Borrelia burgdorferi, which manifests as a multisystem disease of the skin nervous system, heart and joints. Recently it is the most common vector-borne disease in Yugoslavia. New epidemiological studies New epidemiological studies revealed that ticks can occasionally be infected not only by Borrelia burgdorferi, but also by some other microbes that can cause diseases in humans. Recently discovered the variable major protein-like sequence, antigenic variation of B. burgdorferi B 31 partly explains the ability of this organism to evade an active immune response. A key role in development of clinical symptoms associated with lyme disease belongs to the connection with ability of B. burgdorferi to induce and activate metallopeptidases and fibrinolytic enzymes, leading to extracellular matrix destruction. Diagnosis and treatment Diagnosis of Lyme borreliosis is made on the basis of clinical picture, exposure to ticks in endemic areas and serologic confirmation. It seems that polymerase chain reaction has little role in detection of B. burgdorferi in urine, blood, and spinal fluid samples, but it is most useful in evaluating the effectiveness of antibiotic therapy of Lyme arthritis. Infectious Diseases Society of America had prepared new guidelines for selective treatment of Lyme disease. Vaccination is still the best way of prevention for people living in high-risk areas.

Nervous System Lyme Disease

2017 ◽  
Author(s):  
John J. Halperin
Keyword(s):  
Central Nervous System ◽  
Cerebrospinal Fluid ◽  
Nervous System ◽  
Lyme Disease ◽  
Borrelia Burgdorferi ◽  
Clinical Manifestations ◽  
Cerebrospinal Fluid Examination ◽  
The Central Nervous System ◽  
Cranial Neuropathies ◽  
Lymphocytic Meningitis

Nervous system involvement occurs in 10% to 15% of patients infected with Borrelia burgdorferi, B. afzelii, or B. garinii, the tick-borne spirochetes responsible for Lyme disease and its European counterparts. Common clinical manifestations include lymphocytic meningitis, facial and other cranial neuropathies, and painful mononeuropathies such as Lyme radiculitis. Diagnosis requires appropriate clinical, epidemiological, and laboratory evidence. Appropriately interpreted serologic testing is highly reliable; cerebrospinal fluid examination is often informative if the central nervous system is involved. Several week courses of widely available oral or parenteral antimicrobials are curative in most patients.

scholarly journals Isolated Cervical Myelitis in Lyme Disease: A Rare Manifestation of Acute Neuroborreliosis

2020 ◽  
Vol 12 (3) ◽  
pp. 276-281
Author(s):  
Maren Hieber ◽  
Johann Lambeck ◽  
Sebastian Rauer ◽  
Juergen Bardutzky
Keyword(s):  
Lyme Disease ◽  
Borrelia Burgdorferi ◽  
Clinical Symptoms ◽  
Neurological Manifestation ◽  
Imaging Findings ◽  
Early Stages ◽  
System Disease ◽  
Rare Manifestation ◽  
Strong Contrast

Neuroborreliosis is the neurological manifestation of Lyme disease, a tick-borne infectious multi-system disease caused by <i>Borrelia burgdorferi</i> sensu lato. It appears in 3 to 15% of all cases of acute Lyme disease, and includes meningitis, cranial neuritis, and painful radiculoneuritis as the most common manifestations. We report a case of acute neuroborreliosis that manifested as extended isolated cervical myelitis. Not only the manifestation as isolated myelitis in the early stages of borreliosis represents a rarity, but also the strong contrast between mild clinical symptoms and pronounced imaging findings in this case is remarkable.

scholarly journals Lyme disease: The great imitator

2007 ◽  
Vol 23 (5-6-2) ◽  
pp. 215-221
Author(s):  
S. Savic-Jevdjenic ◽  
Z. Grgic ◽  
B. Vidic ◽  
A. Petrovic
Keyword(s):  
Lyme Disease ◽  
Borrelia Burgdorferi ◽  
Lyme Borreliosis ◽  
Clinical Symptoms ◽  
Domestic Animals ◽  
Dark Field ◽  
Tick Population ◽  
Seropositive Animal ◽  
Different Populations ◽  
Fixation Reaction

Lyme disease, or Lyme borreliosis can occur in domestic animals and in people, with no characteristic symptoms. That is why Lyme disease is often diagnosed and treated as some other disease. Clinical symptoms of this disease are not specific and they can look like a number of different diseases, which is why the disease is called - the great imitator. The reservoirs of the disease are ticks Ixodes ricinus. During the research from 2005 to 2007 it was established that the prevalence with Lyme borreliosis exists within the tick population. The objective of this paper is a survey of the presence of Lyme disease in different populations of different animal species (horses, cattle, sheep and dogs) in the region where the infection of ticks with Borrelia burgdorferi was established in the percentage of 25-28%. The methods used were the ones for the determination of Borrelia burgdorferi in ticks, with a dark field microscopy, and also the presence of antibodies against Borrelia burgdorferi was determinate with a complement fixation reaction, in the blood sera of horses, sheep, cattle and dogs. As the result it was found that the cause of Lyme disease, Borrelia burgdorferi is constantly present within the tick population. In examined horses and cattle the presence of antibodies against B. burgdorferi was not found, while in sheep and dogs, the presence of antibodies was found. Any seropositive animal, and also an infected tick, represents a danger for the human population and also for other animals, which are in the surrounding. Lyme disease is usually not mortal, but it can create a lot of problems leading to the decrease of production in domestic animals or an illness with clinical symptoms in humans, horses and dogs.

scholarly journals Guillain-Barré syndrome in a child: a clinical case

2020 ◽  
Vol 48 (4) ◽  
pp. 285-289
Author(s):  
A. Yu. Ryabchenko ◽  
E. V. Grankin
Keyword(s):  
Spinal Cord ◽  
Nervous System ◽  
Peripheral Nervous System ◽  
Clinical Case ◽  
Clinical Course ◽  
Guillain Barre Syndrome ◽  
Complete Regression ◽  
Gradual Improvement ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

Guillain-Barré syndrome is an orphan autoimmune disease associated with the involvement of the peripheral nervous system. The clinical course of the syndrome has four main types. We present a clinical case of Guillain-Barré syndrome in a 6-year old child. Against the background of a previous infection, he developed oculomotor dysfunction, peripheral tetraparesis, sensory abnormalities with subsequent severe weakness of the respiratory muscles. The differential diagnosis included inflammatory, infectious and neoplastic spinal cord disorders, spinal cord magnetic resonance imaging, and examination of the cerebrospinal fluid. The patient's electromyographic data confirmed peripheral nerve damage. Based on all of these, the patient was diagnosed with Guillain-Barré syndrome. Specific treatment, including plasmapheresis and intravenous human immunoglobulin G at a dose of 0.4 mg daily for 5 days, and symptomatic treatment resulted in gradual improvement and complete regression of the neurological symptoms completely resolved. Since Guillain-Barré syndrome is a rare disease of the peripheral nervous system, the awareness of the specifics of its clinical course allows for earlier correct diagnosis and effective treatment.

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