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[Acute hemiparesis revealing a neuroborreliosis in a child]

C Rénard1, S Marignier, Y Gillet

  • 1Service de neurologie, hôpital Debrousse, 29, rue des Soeurs Bouvier, 69322 Lyon cedex 05, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|December 25, 2007
PubMed

Insights

Neuroborreliosis, a Lyme disease complication, can cause stroke-like episodes in children. Early diagnosis and treatment with ceftriaxone are crucial, even without a tick bite history.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Pediatrics

Background:

  • Neuroborreliosis is a Lyme disease complication affecting the nervous system.
  • It can present with varied neurological symptoms in children.

Observation:

  • An 11-year-old boy experienced two acute hemiparesis episodes within a month.
  • Symptoms included headache and fatigue; no tick bite history was reported.
  • Cranial MRI revealed inflammation and vasculitis.

Findings:

  • Diagnosis of neuroborreliosis confirmed by specific antibodies in cerebrospinal fluid (CSF).
  • A rarely observed decreased CSF/blood glucose ratio (0.14) was noted.
  • Ceftriaxone treatment led to successful recovery.

Implications:

  • Neuroborreliosis should be considered in pediatric stroke-like episodes.
  • Diagnostic awareness is vital, even without typical tick exposure signs.
  • Prompt antibiotic therapy is key for favorable outcomes.

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