Berthele A, Tölle T R
Neurologische Klinik derTU München.
MMW Fortschr Med. 2004 Jul 22;146(29-30):38-41.
Pain is one of the presenting symptoms in acute neuroborreliosis. Classically, acute neuroborreliosis--also known in Europe as Bannwarth's syndrome--is a combination of radicular pain, cranial neuritis and peripheral radiculitis and inflammatory changes of the CSF. The prognosis following antibiotic therapy is favorable. At least in its early stages, however, the diagnosis neuroborreliosis might be missed or mistaken. Thus, targeted assessment of typical signs is needed to expedite examination of the CSF which then permits definitive diagnosis.
疼痛是急性神经莱姆病的症状之一。传统上,急性神经莱姆病——在欧洲也被称为班沃思综合征——是神经根性疼痛、颅神经炎、外周神经根炎以及脑脊液炎症改变的综合表现。抗生素治疗后的预后良好。然而,至少在其早期阶段,神经莱姆病的诊断可能会被漏诊或误诊。因此,需要针对性地评估典型体征,以便加快脑脊液检查,从而做出明确诊断。