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Published on: February 4, 2018
A rare case of pseudotumor cerebri in adult Lyme disease
Louise Nørreslet Gimsing1, Line Sofie Lunde Larsen2
1Department of Specialized Neurorehabilitation Hvidovre Hospital Hvidovre Denmark.
Insights
Recognizing rare chronic Lyme disease symptoms like pseudotumor cerebri is crucial to prevent permanent disabilities. This case highlights the need for surgical intervention in complex Lyme disease neurological manifestations.
Area of Science:
- Neurology
- Infectious Diseases
- Ophthalmology
Background:
- Chronic Lyme disease can present with diverse and rare neurological complications.
- Early diagnosis and management are essential to prevent long-term sequelae.
Observation:
- An adult patient with chronic Lyme disease developed pseudotumor cerebri, a condition characterized by increased intracranial pressure.
- The patient required surgical intervention in addition to standard treatments.
Findings:
- This case illustrates a rare neurological manifestation of chronic Lyme disease.
- A systematic literature review was conducted to compare this case with existing published data.
Implications:
- Highlights the importance of considering Lyme disease in the differential diagnosis of pseudotumor cerebri.
- Emphasizes the potential need for surgical management in severe or refractory cases of Lyme-associated neurological dysfunction.
Abstract:
It is important to recognize the rare manifestations of chronic Lyme disease to prevent permanent disabilities. We present an adult case of chronic Lyme disease, who developed pseudotumor cerebri and who needed supplementary surgical treatment. We compare it to the existing published literature, reviewed by a systematic approach.

