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Borrelia infection and vertigo.

U Rosenhall1, P Hanner, B Kaijser

  • 1Department of Audiology, Sahlgrenska Sjukhuset, Göteborg, Sweden.

Acta Oto-Laryngologica
|July 1, 1988
PubMed
Summary

Borrelia infection may cause severe vertigo. This study found 14% of vertigo patients had evidence of Borrelia infection, often with positional nystagmus, suggesting it

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Otolaryngology

Background:

  • Vertigo is a common and often debilitating symptom.
  • The etiological factors for vertigo are diverse and require thorough investigation.
  • Borrelia infection, caused by Borrelia spirochetes, is a known cause of various neurological symptoms.

Purpose of the Study:

  • To investigate the prevalence of Borrelia infection in patients presenting with vertigo.
  • To determine if Borrelia infection is associated with specific vertigo symptoms or findings.

Main Methods:

  • Indirect immunofluorescence assay was used to detect serum antibodies to Borrelia spirochete antigen.
  • Seventy-three patients with vertigo were tested.
  • Patients underwent electronystagmography (ENG) and oculomotor testing.

Main Results:

  • Ten out of 73 patients (14%) showed serological evidence of Borrelia infection.
  • All infected patients experienced severe, incapacitating vertigo.
  • Positional vertigo and positional nystagmus were common in Borrelia-positive patients (40% and 100% respectively).
  • Abnormal ENG findings, including unilateral caloric weakness (50%), were observed in infected individuals.

Conclusions:

  • Borrelia infection should be considered as a potential etiological factor in patients with vertigo.
  • The presence of positional nystagmus in vertigo patients may indicate a Borrelia infection.
  • Further investigation into Borrelia serology is warranted for unexplained vertigo cases.

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