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Published on: March 1, 2015
Multiple cranial nerve involvement in Bannwarth's syndrome.
Marika Vianello1, Giancarlo Marchiori, Bruno Giometto
1O.U. Neurology, Ca' Foncello Hospital, Piazza Ospedale 1, 31100, Treviso, Italy.
Summary
Bannwarth's syndrome, a neurological disease transmitted by ticks, can present without a clear bite history. Early therapy is crucial when symptoms suggest this Borrelia burgdorferi infection, even with delayed diagnosis.
Area of Science:
- Neurology
- Infectious Diseases
- Microbiology
Background:
- Bannwarth's syndrome is a neurological complication of Borrelia burgdorferi infection.
- It is transmitted by ticks and typically manifests after skin erythema.
Observation:
- A case study of a male patient presenting with neurological symptoms suggestive of Bannwarth's syndrome.
- The patient had no history of tick bite or concurrent infection signs.
- Serological analysis confirmed Borrelia burgdorferi infection after repeated testing.
Findings:
- Neurological manifestations like neuritic pain and lymphocytic pleocytosis can occur without typical erythema or headache.
- Diagnosis can be challenging due to delayed serological confirmation.
- This case highlights atypical presentations of tick-borne neurological disease.
Implications:
- Clinicians should consider Bannwarth's syndrome in endemic areas, even with atypical presentations.
- Early therapeutic intervention is recommended when clinical suspicion is high.
- Further research into diagnostic challenges and early treatment protocols for Bannwarth's syndrome is warranted.
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