伪装成正常压力脑积水的莱姆病神经疏螺旋体病。
Lyme neuroborreliosis disguised as normal pressure hydrocephalus.
作者信息
Danek A, Uttner I, Yoursry T, Pfister H W
机构信息
Department of Neurology, Ludwig-Maximilians-Universität, Klinikum Grosshadern, Munich, Germany.
出版信息
Neurology. 1996 Jun;46(6):1743-5. doi: 10.1212/wnl.46.6.1743.
PMID:8649583
Abstract
A 74-year-old woman presented with gait impairment, urinary incontinence, and dementia. She showed lymphocytic CSF pleocytosis and pronounced intrathecal Borrelia burgdorferi antibody production, indicating active Lyme neuroborreliosis. The syndrome of normal-pressure hydrocephalus (NPH) fully remitted after ceftriaxone treatment. Lyme neuroborreliosis may cause NPH by interfering with subarachnoid CSF flow.
摘要
一名74岁女性出现步态障碍、尿失禁和痴呆症状。她的脑脊液淋巴细胞增多，鞘内伯氏疏螺旋体抗体产生明显，提示存在活动性莱姆病神经疏螺旋体病。头孢曲松治疗后，正常压力脑积水（NPH）综合征完全缓解。莱姆病神经疏螺旋体病可能通过干扰蛛网膜下腔脑脊液流动而导致NPH。
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