AIVOKALVONTULEHDUS, KASVOHERMOHALVAUS

[soijuv]

Skandinaviassa lasten neuroborrelioosin oireena on useimmiten
lievä aivokalvontulehdus tai kasvohermohalvaus.

Scand J Infect Dis. 2008 Dec 8;:1-7 [Epub ahead of print]

Clinical characteristics of childhood Lyme neuroborreliosis in an endemic area
of northern Europe.

Oymar K, Tveitnes D.

From the Department of Paediatrics, Stavanger University Hospital, Stavanger.

Neuroborreliosis may be caused by different species of Borrelia burgdorferi (BB)
and the clinical presentation of neuroborreliosis in children may differ between
geographical areas due to occurrence of different BB genospecies. The aim of
this study was to evaluate the clinical characteristics in children with
neuroborreliosis in an endemic area of Scandinavia. During 1996-2006, children
with suspected neuroborreliosis referred to Stavanger University Hospital were
investigated by a standard procedure including a lumbar puncture. A total of 143
children were diagnosed with neuroborreliosis, and all cases were diagnosed from
April to December. The most common clinical presentations were symptoms of mild
meningitis (75%) and/or facial nerve palsy (69%). Radicular pain was present in
only 10 children. In all but 5 children, laboratory signs of meningitis were
present. Erythema migrans preceded the neurological symptoms in only 27% of the
children.

In conclusion, we have found that in an endemic area of northern
Europe, meningitis is present in the majority of children with neuroborreliosis,
and that symptoms of a mild meningitis or facial nerve palsy are the most common
presentations.

PMID: 19065451 [PubMed - as supplied by publisher]