The clinical spectrum of Lyme neuroborreliosis
Lyme disease is a multisystem infectious disease, endemic in parts of Europe, including the West of Ireland. Neurological manifestions (neuroborreliosis) are variable. Presenting neurological syndromes include meningitis, cranial neuropathies, myeloradiculitis and mononeuritis multiplex. A lack of s...
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Veröffentlicht in: | Irish medical journal 2010-02, Vol.103 (2), p.46-49 |
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creator | Elamin, M Monaghan, T Mulllins, G Ali, E Corbett-Feeney, G O'Connell, S Counihan, T J |
description | Lyme disease is a multisystem infectious disease, endemic in parts of Europe, including the West of Ireland. Neurological manifestions (neuroborreliosis) are variable. Presenting neurological syndromes include meningitis, cranial neuropathies, myeloradiculitis and mononeuritis multiplex. A lack of specificity in serological diagnosis may add to diagnostic confusion. We reviewed thirty cases of acute Lyme disease in the West of Ireland and found neurological syndromes in 15 (50%), with painful radiculopathy (12 patients; 80%) and cranial neuropathy (7 patients; 46%) occurring frequently. Neuroborreliosis needs to be considered in the differential diagnosis of these neurological syndromes in the appropriate clinical context. |
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Neurological manifestions (neuroborreliosis) are variable. Presenting neurological syndromes include meningitis, cranial neuropathies, myeloradiculitis and mononeuritis multiplex. A lack of specificity in serological diagnosis may add to diagnostic confusion. We reviewed thirty cases of acute Lyme disease in the West of Ireland and found neurological syndromes in 15 (50%), with painful radiculopathy (12 patients; 80%) and cranial neuropathy (7 patients; 46%) occurring frequently. 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Neurological manifestions (neuroborreliosis) are variable. Presenting neurological syndromes include meningitis, cranial neuropathies, myeloradiculitis and mononeuritis multiplex. A lack of specificity in serological diagnosis may add to diagnostic confusion. We reviewed thirty cases of acute Lyme disease in the West of Ireland and found neurological syndromes in 15 (50%), with painful radiculopathy (12 patients; 80%) and cranial neuropathy (7 patients; 46%) occurring frequently. Neuroborreliosis needs to be considered in the differential diagnosis of these neurological syndromes in the appropriate clinical context.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Humans</subject><subject>Lyme Neuroborreliosis - diagnosis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><issn>0332-3102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j0tLxDAURrNQnHH0L0h3rirJvXm0Sxl8DBTcjOuS5oGRtKlJu5h_74Dj6oPD4cB3RbYUEWpkFDbktpRvShFQwQ3ZAJVSUiG25On45SoTwxSMjlWZnVnyOlbJV91pdNXk1pyGlLOLIZVQ7si117G4-8vuyOfry3H_Xncfb4f9c1fPDMRSD2xovRQelGbeWt60VjTCAj0jwaVkUgHXAlsKlLdMoZVcNY0BY1XL0eOOPP5155x-VleWfgzFuBj15NJaenVOKhQSz-bDxVyH0dl-zmHU-dT_X8Rf6WdKDQ</recordid><startdate>201002</startdate><enddate>201002</enddate><creator>Elamin, M</creator><creator>Monaghan, T</creator><creator>Mulllins, G</creator><creator>Ali, E</creator><creator>Corbett-Feeney, G</creator><creator>O'Connell, S</creator><creator>Counihan, T J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201002</creationdate><title>The clinical spectrum of Lyme neuroborreliosis</title><author>Elamin, M ; Monaghan, T ; Mulllins, G ; Ali, E ; Corbett-Feeney, G ; O'Connell, S ; Counihan, T J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p125t-b1b9f65f27a1fdd489d585d205f2546616724a53902049173d64788c2cd7943f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Humans</topic><topic>Lyme Neuroborreliosis - diagnosis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elamin, M</creatorcontrib><creatorcontrib>Monaghan, T</creatorcontrib><creatorcontrib>Mulllins, G</creatorcontrib><creatorcontrib>Ali, E</creatorcontrib><creatorcontrib>Corbett-Feeney, G</creatorcontrib><creatorcontrib>O'Connell, S</creatorcontrib><creatorcontrib>Counihan, T J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Irish medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elamin, M</au><au>Monaghan, T</au><au>Mulllins, G</au><au>Ali, E</au><au>Corbett-Feeney, G</au><au>O'Connell, S</au><au>Counihan, T J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The clinical spectrum of Lyme neuroborreliosis</atitle><jtitle>Irish medical journal</jtitle><addtitle>Ir Med J</addtitle><date>2010-02</date><risdate>2010</risdate><volume>103</volume><issue>2</issue><spage>46</spage><epage>49</epage><pages>46-49</pages><issn>0332-3102</issn><abstract>Lyme disease is a multisystem infectious disease, endemic in parts of Europe, including the West of Ireland. 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subjects | Adult Aged Aged, 80 and over Female Humans Lyme Neuroborreliosis - diagnosis Male Middle Aged Retrospective Studies |
title | The clinical spectrum of Lyme neuroborreliosis |
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