Kan L, Sood S K, Maytal J
Division of Pediatric Neurology, Schneider Children's Hospital, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein College of Medicine, New Hyde Park, New York 11040, USA.
Pediatr Neurol. 1998 May;18(5):439-41. doi: 10.1016/s0887-8994(97)00215-4.
Pseudotumor cerebri is an unusual presentation of Lyme disease. The case of an 8-year-old girl with pseudotumor cerebri secondary to acute neuroborreliosis is reported. She presented with acute onset of headache, papilledema, sixth nerve palsy, increased intracranial pressure, and cerebrospinal fluid pleocytosis. Serum and cerebrospinal fluid Lyme antibodies were positive. Twelve reported cases that mostly presented with systemic findings and signs of Lyme disease before development of pseudotumor cerebri were reviewed. We conclude that acute neuroborreliosis can present with pseudotumor cerebri as an initial manifestation. It is important to include Lyme disease in the differential diagnosis of pseudotumor cerebri in an area endemic for Lyme disease.
假性脑瘤是莱姆病的一种不寻常表现形式。本文报告了一例8岁患有急性神经型莱姆病继发假性脑瘤的女孩病例。她表现为急性起病的头痛、视乳头水肿、展神经麻痹、颅内压升高和脑脊液细胞增多。血清和脑脊液莱姆抗体均为阳性。我们回顾了12例已报告病例，这些病例大多在出现假性脑瘤之前表现出莱姆病的全身症状和体征。我们得出结论，急性神经型莱姆病可最初表现为假性脑瘤。在莱姆病流行地区，将莱姆病纳入假性脑瘤的鉴别诊断很重要。
