Article Text

Download PDFPDF
Lyme disease presenting as multiple ischaemic strokes
  1. Sui Li,
  2. Michal Vytopil,
  3. Kinan Hreib,
  4. Donald E Craven
  1. Department of Neurology, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA
  1. Correspondence to Dr Sui Li, Department of Neurology, Lahey Hospital & Medical Center, 41 Burlington Mall Rd, Burlington, MA 01805, USA; Sui.Li{at}Lahey.org

Abstract

A 46-year-old man presented with recurrent left hemiparesis and headache. MRI of brain showed an acute right pontine and subacute right thalamic infarcts and MR angiogram showed multiple intracranial arterial stenoses, suggesting cerebral vasculopathy. There was a cerebrospinal fluid lymphocytic pleocytosis with Borrelia burgdorferi antibodies. Central nervous system Lyme disease occasionally presents with ischaemic strokes; this case is unusual in showing vasculopathy on brain imaging, supporting meningovasculitis as the likely mechanism.

  • LYME DISEASE
  • STROKE

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Editors' commentary
    Phil Smith Geraint N Fuller

Other content recommended for you