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Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus

Aakash Desai1, Gaurav Manek2, Anand M Krishnan2

  • 1Internal Medicine, University of Connecticut Health Center , Farmington, USA.

Cureus
|June 7, 2018
PubMed

Insights

Lyme meningoencephalitis can mimic normal pressure hydrocephalus (NPH), presenting with urinary incontinence and gait issues. Early recognition of this rare tick-borne illness is crucial for timely diagnosis and treatment.

Area of Science:

  • Neurology
  • Infectious Diseases

Background:

  • Lyme disease, caused by *Borrelia burgdorferi*, is transmitted by Ixodes ticks in endemic forested regions.
  • Neurological manifestations of Lyme disease can be diverse and challenging to diagnose.

Observation:

  • A case of Lyme meningoencephalitis presented with symptoms mimicking normal pressure hydrocephalus (NPH).
  • Key NPH-like symptoms included urinary incontinence, gait instability, and progressive neurological decline.

Findings:

  • Lyme meningoencephalitis can present as an NPH-like syndrome, posing a diagnostic challenge.
  • The non-specific nature and low incidence of this presentation contribute to diagnostic difficulties.

Implications:

  • Increased clinical awareness of Lyme meningoencephalitis presenting as NPH is essential.
  • Prompt diagnosis and treatment are critical for managing this rare neurological complication of Lyme disease.
Keywords:
lyme diseasemeningoencephalitisnormal pressure hydrocephalus

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