Chronic Neurologic Manifestations of Lyme Disease

作者: Eric L. Logigian , Richard F. Kaplan , Allen C. Steere

DOI: 10.1056/NEJM199011223232102

关键词:

摘要: Abstract Background and Methods. Lyme disease, caused by the tick-borne spirochete Borrelia burgdorferi, is associated with a wide variety of neurologic manifestations. To define further chronic abnormalities we studied 27 patients (age range, 25 to 72 years) previous signs current evidence immunity B. symptoms no other identifiable cause. Eight had been followed prospectively for 8 12 years after onset infection. Results. Of patients, 24 (89 percent) mild encephalopathy that began 1 month 14 disease was characterized memory loss, mood changes, or sleep disturbance. impairment on neuropsychological tests, 18 increased cerebrospinal fluid protein levels, intrathecal production antibody both. Nineteen (70 polyneuropathy wi...

参考文章(31)
LOUIS REIK, ALLEN C. STEERE, NICHOLAS H. BARTENHAGEN, ROBERT E. SHOPE, STEPHEN E. MALAWISTA, Neurologic abnormalities of Lyme disease. Medicine. ,vol. 58, pp. 281- 294 ,(1979) , 10.1097/00005792-197907000-00001
J. H. J. Wokke, J. van Gijn, A. Elderson, G. Stanek, Chronic forms of Borrelia burgdorferi infection of the nervous system Neurology. ,vol. 37, pp. 1031- 1031 ,(1987) , 10.1212/WNL.37.6.1031
A. C. Steere, V. P. Berardi, K. E. Weeks, E. L. Logigian, R. Ackermann, Evaluation of the Intrathecal Antibody Response to Borrelia burgdorferi as a Diagnostic Test for Lyme Neuroborreliosis The Journal of Infectious Diseases. ,vol. 161, pp. 1203- 1209 ,(1990) , 10.1093/INFDIS/161.6.1203
J. J. Halperin, B. W. Little, P. K. Coyle, R. J. Dattwyler, Lyme disease Cause of a treatable peripheral neuropathy Neurology. ,vol. 37, pp. 1700- 1700 ,(1987) , 10.1212/WNL.37.11.1700
L. Reik, L. Smith, A. Khan, W. Nelson, Demyelinating encephalopathy in Lyme disease. Neurology. ,vol. 35, pp. 267- 267 ,(1985) , 10.1212/WNL.35.2.267
RUDOLF ACKERMANN, BRUNHILDE REHSE-KÜPPER, ECKHARD GOLLMER, ROGER SCHMIDT, Chronic Neurologic Manifestations of Erythema Migrans Borreliosis Annals of the New York Academy of Sciences. ,vol. 539, pp. 16- 23 ,(1988) , 10.1111/J.1749-6632.1988.TB31834.X
J. M. Vallat, J. Hugon, M. Lubeau, M. J. Leboutet, M. Dumas, R. Desproges-Gotteron, Tick‐bite meningoradiculoneuritis Clinical, electrophysiologic, and histologic findings in 10 cases Neurology. ,vol. 37, pp. 749- 749 ,(1987) , 10.1212/WNL.37.5.749
Adis Storm-Mathisen, General paresis; a follow-up study of 203 patients. Acta Psychiatrica Scandinavica. ,vol. 45, pp. 118- 132 ,(1969) , 10.1111/J.1600-0447.1969.TB10368.X
RICHARD D. HAHN, Penicillin Treatment of General Paresis (Dementia Paralytica) A.M.A. Archives of Neurology & Psychiatry. ,vol. 81, pp. 557- 590 ,(1959) , 10.1001/ARCHNEURPSYC.1959.02340170023003