[Acute hemiparesis revealing a neuroborreliosis in a child]

Arch Pediatr. 2008 Jan;15(1):41-4. doi: 10.1016/j.arcped.2007.10.008. Epub 2007 Dec 26.
[Article in French]

Abstract

We report on a 11-year-old boy who had 2 acute hemiparesis episodes over a period of 1 month. He suffered from headache and fatigue since 1 year. He could not remember neither a tick bite nor a local erythematous skin lesion. The diagnosis of neuroborreliosis was based on intrathecal production of specifics antibodies. Furthermore, the CSF/blood glucose ratio was decreased (0.14), which was rarely described. Cranial MRI showed left capsulothalamic inflammation and a vasculitis. The patient was successfully treated by ceftriaxone. Neuroborreliosis should be considered in all children with stroke-like episode, even in the absence of a history of a tick bite.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / therapeutic use
  • Ceftriaxone / therapeutic use*
  • Child
  • Humans
  • Lyme Neuroborreliosis / diagnosis*
  • Lyme Neuroborreliosis / drug therapy*
  • Magnetic Resonance Imaging
  • Male
  • Paresis / etiology*

Substances

  • Anti-Bacterial Agents
  • Ceftriaxone