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NEUROLOGY 1987;37:1031
© 1987 American Academy of Neurology

Chronic forms of Borrelia burgdorferi infection of the nervous system

J. H. J. Wokke, MD, J. van Gijn, MD, A. Elderson, MD and G. Stanek, MD

University Department of Neurology, Academic Hospital, Utrecht (Drs. Wokke, van Gijn, and Elderson), The Netherlands; and the Hygiene Institute of the University of Vienna (Dr. Stanek), Austria.

Three European patients had chronic active forms of Borrelia burgdorferi infection of the nervous system, with high titers of antibodies to this spirochete in serum and CSF. Two patients had meningitis for 3 to 4 years, with remissions in one and slowly progressive symptoms in the other. Both had CT lucencies in the basal ganglia. The third patient had lumbosacral plexus neuropathy for 1 year. All three patients responded to intravenous penicillin treatment.

Address correspondence and reprint requests to Dr. Wokke, University Department of Neurology, Academic Hospital Utrecht, Nicolaas Beetsstraat 24, 3511 HG Utrecht, The Netherlands.

Received June 13, 1986. Accepted for publication in final form September 25, 1986.




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[Abstract] [PDF]


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