Bourke S J
Glasgow Royal Infirmary, Scotland, UK.
Biomed Pharmacother. 1989;43(6):397-400. doi: 10.1016/0753-3322(89)90235-7.
Neurological problems form an important part of the clinical spectrum of Lyme disease. A triad of aseptic meningoencephalitis, cranial neuritis and peripheral neuritis is unique to the disease. However, the list of neurological manifestations described includes pseudotumour cerebri, hemiparesis, demyelinating disorders, optic atrophy, recurrent laryngeal nerve palsy and purulent meningitis so that Lyme disease must now be considered in the differential diagnosis of a wide range of neurological disorders.
神经问题是莱姆病临床症状谱的重要组成部分。无菌性脑膜脑炎、颅神经炎和周围神经炎三联征是该疾病所特有的。然而,所描述的神经表现清单还包括假脑瘤、偏瘫、脱髓鞘疾病、视神经萎缩、喉返神经麻痹和化脓性脑膜炎,因此现在在多种神经疾病的鉴别诊断中必须考虑莱姆病。