Poster 172

Majerske, Cynthia W.; Dicianno, Brad E.; Raval, Gargi; Zafonte, Ross; Živković, Saša

doi:10.1016/s0003-9993(03)00718-4

Archives of Physical Medicine and Rehabilitation

2003

DOI: 10.1016/s0003-9993(03)00718-4

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Poster 172

Cynthia W. Majerske

Brad E. Dicianno²,

Gargi Raval³

et al.

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2012

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Neuroborreliosis Presenting as Acute Disseminated Encephalomyelitis

Rocha¹,

Lisboa²,

Neves³

et al. 2012

Pediatric Emergency Care

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We report a case of a 5-year-old boy with acute disseminated encephalomyelitis as the initial presentation of neuroborreliosis. Parents report an upper-airway infection a few days before the development of acute encephalopathy, mild facial palsy, and seizures. The patient needed mechanical ventilation for 10 days, and after extubation, he presented hypotonia, ataxia, dysarthria, as well as weak gag and cough reflexes. Brain magnetic resonance imaging showed hyperintense lesions on T2- and fluid-attenuated inversion recovery sequences on the right subcortical occipital and parietal region, left posterior arm of the internal capsule, and in the medulla oblongata. Borrelia burgdorferi was identified in the plasma and cerebrospinal fluid by polymerase chain reaction and in the plasma by Western blotting. He was treated with ceftriaxone, methylprednisolone, and human immunoglobulin. Recovery was partial.

show abstract

Neuroborreliosis Presenting as Acute Disseminated Encephalomyelitis

Rocha¹,

Lisboa²,

Neves³

et al. 2012

Pediatric Emergency Care

View full text Add to dashboard Cite

show abstract

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Poster 172

Cited by 1 publication

References 0 publications

Neuroborreliosis Presenting as Acute Disseminated Encephalomyelitis

Neuroborreliosis Presenting as Acute Disseminated Encephalomyelitis

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