Cerebellar ataxia as the presenting manifestation of Lyme disease. Pediatr Infect Dis J 2002 Apr;21(4):353-6
Date
06/22/2002Pubmed ID
12075773DOI
10.1097/00006454-200204000-00021Scopus ID
2-s2.0-0036229462 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
A 7-year-old boy from suburban Baltimore who presented with cerebellar ataxia and headaches was found by magnetic resonance imaging to have multiple cerebellar enhancing lesions. He had no history of tick exposure. He was initially treated with steroids for presumptive postinfectious encephalitis. Lyme disease was diagnosed 10 weeks later after arthritis developed. Testing of the cerebrospinal fluid obtained at the time cerebellar ataxia was diagnosed revealed intrathecal antibody production to Borrelia burgdorferi. Treatment with intravenous antibiotics led to rapid resolution of persistent cerebellar findings.
Author List
Arav-Boger R, Crawford T, Steere AC, Halsey NAAuthor
Ravit Boger MD Chief, Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Anti-Bacterial AgentsBorrelia burgdorferi
Cerebellar Ataxia
Cerebrospinal Fluid
Child
Diagnosis, Differential
Headache
Humans
Lyme Disease
Male
