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Tick-borne Encephalitis: Stroke-like Presentation.

Andreas Eleftheriou1, Fredrik Lundin1, Evangelos Alexandros Petropoulos2

  • 1Department of Neurology, and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden; Department of Neurology, University Hospital, Linköping, Sweden.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|June 15, 2019
PubMed
Summary
This summary is machine-generated.

Tick-borne encephalitis virus (TBEV) can cause stroke-like brain lesions. This case highlights TBEV as a potential cause of thalamic microangiopathy and stroke-like symptoms.

Keywords:
ADCDWITick-borne encephalitiscerebral infarctioncerebrovascular diseasethalamus

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Area of Science:

  • Neurovirology
  • Infectious Diseases
  • Neurology

Background:

  • Tick-borne encephalitis (TBE) is a viral infection endemic in Europe and Asia.
  • TBE is caused by the tick-borne virus (TBEV), with Sweden reporting high incidence in 2009.
  • Clinical manifestations of TBEV infection are diverse.

Observation:

  • A unique case presented with clinical symptoms and radiological findings.
  • Findings were compatible with a stroke-like inflammatory lesion in the thalamus.
  • The lesion suggested microangiopathy secondary to TBEV infection.

Findings:

  • The case demonstrated an unusual presentation of TBEV infection.
  • Radiological evidence pointed towards thalamic microangiopathy.
  • The findings suggest a link between TBEV and stroke-like lesions.

Implications:

  • TBEV should be considered in the differential diagnosis of stroke-like lesions, particularly in endemic areas.
  • This case expands the known spectrum of TBEV neurological complications.
  • Further research may elucidate the mechanisms of TBEV-induced vascular damage in the brain.