Post by itsybitsyone on May 27, 2008 12:00:09 GMT -8
Hansel Y, Ackerl M, Stanek G., ALS-like sequelae in chronic neuroborreliosis
Wien Med Wochenschr. 1995;145(7-8):186-8. German.
“CSF investigation in a 61-year old female patient with clinical picture of motoneuron disease gave evidence for chronic infection with Borrelia burgdorferi. Improvement of clinical and CSF findings could be observed after antibiotic therapy. The diagnosis of amyotrophic lateral sclerosis which was initially suspected had to be revised and the disorder was interpreted as chronic neuroborreliosis.”
David S. Cassarino, MD, PhD,a Martha M. Quezado, MD,a Nitya R. Ghatak, MD,a and Paul H. Duray, MDa
Lyme-Associated Parkinsonism: A Neuropathologic Case Study and Review of the Literature, Archives of Pathology and Laboratory Medicine: Vol. 127, No. 9, pp. 1204-1206.
From the Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Md (Drs Cassarino, Quezado, and Duray); and the Departments of Pathology and Neuropathology, Virginia Commonwealth University, Richmond (Dr Ghatak)
Accepted April 11, 2003
Neurological complications of Lyme disease include meningitis, encephalitis, dementia, and, rarely, parkinsonism. We present a case of striatonigral degeneration, a form of multiple system atrophy, in Lyme- associated parkinsonism. A 63-year-old man presented with erythema migrans rash, joint pains, and tremors. Serum and cerebrospinal fluid antibodies and polymerase chain reaction for Borrelia burgdorferi were positive. Clinical parkinsonism was diagnosed by several neurologists. Despite treatment, the patient continued to decline, with progressive disability, cognitive dysfunction, rigidity, and pulmonary failure. At autopsy, the brain showed mild basal ganglia atrophy and substantia nigra depigmentation, with extensive striatal and substantia nigral neuronal loss and astrogliosis. No Lewy bodies were identified; however, ubiquitin-positive glial cytoplasmic inclusions were identified in striatal and nigral oligodendroglia. There were no perivascular or meningeal infiltrates, the classic findings of neuroborreliosis. To our knowledge, this is the first report of striatonigral degeneration in a patient with B burgdorferi infection of the central nervous system and clinical Lyme-associated parkinsonism.
Fredrikson S, Link H. ,CNS-borreliosis selectively affecting central motor neurons. Acta Neurol Scand 1988;78:181-184
“A patient is described having Borrelia burgdorferi spirochetal infection clinically affecting central motor neurons selectively and without any sensory impairment.”
Halperin JJ, Kaplan GP, et al. Immunologic reactivity against Borrelia burgdorferi in patients with motor neuron disease. Arch. Neurol 1990; 47: 586-594
“Cerebrospinal fluid was examined in 24 ALS patients--3 (all with severe bulbar involvement) appeared to have intrathecal synthesis of anti- B burgdorferi antibody.”
Reik L; Burgdorfer W; Donaldson JO, Neurologic abnormalities in Lyme disease without erythema chronicum migrans.:
American Journal of Medicine, 81:73. 1986.
“The occurrence of severe encephalitis resulting in dementia in two of these patients... enlarges the known spectrum of neurologic abnormalities due to infection with B. burgdorferi.”
Pachner AR. Borrelia burgdorferi in the nervous system: the new "great imitator". Annals of the New York Academy of Sciences, 539:56-64. 1988
“Six patients had relapsing-remitting episodes of focal CNS disease, sometimes mimicking multiple sclerosis”
Wien Med Wochenschr. 1995;145(7-8):186-8. German.
“CSF investigation in a 61-year old female patient with clinical picture of motoneuron disease gave evidence for chronic infection with Borrelia burgdorferi. Improvement of clinical and CSF findings could be observed after antibiotic therapy. The diagnosis of amyotrophic lateral sclerosis which was initially suspected had to be revised and the disorder was interpreted as chronic neuroborreliosis.”
David S. Cassarino, MD, PhD,a Martha M. Quezado, MD,a Nitya R. Ghatak, MD,a and Paul H. Duray, MDa
Lyme-Associated Parkinsonism: A Neuropathologic Case Study and Review of the Literature, Archives of Pathology and Laboratory Medicine: Vol. 127, No. 9, pp. 1204-1206.
From the Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Md (Drs Cassarino, Quezado, and Duray); and the Departments of Pathology and Neuropathology, Virginia Commonwealth University, Richmond (Dr Ghatak)
Accepted April 11, 2003
Neurological complications of Lyme disease include meningitis, encephalitis, dementia, and, rarely, parkinsonism. We present a case of striatonigral degeneration, a form of multiple system atrophy, in Lyme- associated parkinsonism. A 63-year-old man presented with erythema migrans rash, joint pains, and tremors. Serum and cerebrospinal fluid antibodies and polymerase chain reaction for Borrelia burgdorferi were positive. Clinical parkinsonism was diagnosed by several neurologists. Despite treatment, the patient continued to decline, with progressive disability, cognitive dysfunction, rigidity, and pulmonary failure. At autopsy, the brain showed mild basal ganglia atrophy and substantia nigra depigmentation, with extensive striatal and substantia nigral neuronal loss and astrogliosis. No Lewy bodies were identified; however, ubiquitin-positive glial cytoplasmic inclusions were identified in striatal and nigral oligodendroglia. There were no perivascular or meningeal infiltrates, the classic findings of neuroborreliosis. To our knowledge, this is the first report of striatonigral degeneration in a patient with B burgdorferi infection of the central nervous system and clinical Lyme-associated parkinsonism.
Fredrikson S, Link H. ,CNS-borreliosis selectively affecting central motor neurons. Acta Neurol Scand 1988;78:181-184
“A patient is described having Borrelia burgdorferi spirochetal infection clinically affecting central motor neurons selectively and without any sensory impairment.”
Halperin JJ, Kaplan GP, et al. Immunologic reactivity against Borrelia burgdorferi in patients with motor neuron disease. Arch. Neurol 1990; 47: 586-594
“Cerebrospinal fluid was examined in 24 ALS patients--3 (all with severe bulbar involvement) appeared to have intrathecal synthesis of anti- B burgdorferi antibody.”
Reik L; Burgdorfer W; Donaldson JO, Neurologic abnormalities in Lyme disease without erythema chronicum migrans.:
American Journal of Medicine, 81:73. 1986.
“The occurrence of severe encephalitis resulting in dementia in two of these patients... enlarges the known spectrum of neurologic abnormalities due to infection with B. burgdorferi.”
Pachner AR. Borrelia burgdorferi in the nervous system: the new "great imitator". Annals of the New York Academy of Sciences, 539:56-64. 1988
“Six patients had relapsing-remitting episodes of focal CNS disease, sometimes mimicking multiple sclerosis”