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Published on: May 19, 2020
Meningovascular Neuroborreliosis: A Swiss Mini Case Series and Narrative Literature Review
Valentino Mutschler1, Matthias Arnold2,3, Konstantin Mayr1
1Department of Neurology, University Hospital Zurich, Zurich, Switzerland.
Introduction:
Neurotropism of Borrelia burgdorferi sensu lato - the spirochete causing Lyme neuroborreliosis (LNB) - is well known. Its meningovascular presentation, however, remains less widely recognized. Albeit a rarity, meningovascular neuroborreliosis often presents relatively homogeneously with characteristic clinical, laboratory, and imaging findings.
Case Presentations:
We here describe the striking clinical, laboratory, and imaging similarities in 2 cases of cerebral ischemic stroke due to meningovascular neuroborreliosis in Switzerland and provide a chronological overview of the literature from early case reports to multicenter studies of this rare disease.
Conclusion:
The meningovascular form of LNB has become a recognized cause of stroke and other cerebrovascular events. Given its treatability, timely recognition is warranted to ensure a favorable prognosis.
Insights
Meningovascular Lyme neuroborreliosis (LNB), a rare cause of stroke, presents with consistent clinical, lab, and imaging findings. Early diagnosis of this treatable condition is crucial for a better patient prognosis.
Area of Science:
- Neurology
- Infectious Diseases
- Vascular Neurology
Background:
- Neurotropism of *Borrelia burgdorferi sensu lato* is established, but its meningovascular presentation causing Lyme neuroborreliosis (LNB) is less recognized.
- Meningovascular neuroborreliosis, though rare, often exhibits a homogeneous presentation with distinct clinical, laboratory, and imaging characteristics.
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