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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
Summary
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.
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