Lyme Disease Support Group

Raffi Topakian, Karl Stieglbauer, Karin Nussbaumer and Franz T. Aichner

Cerebrovascular Diseases, 2008;26:455-46

Published online before print Sept 23, 2008.

http://dx.doi.org/10.1159/000155982

We report on 2 patients with cerebral vasculitis and stroke due to Lyme

neuroborreliosis (LN.

Both patients had a prodromal stage involving headaches, and showed

meningeal enhancement in addition to ischemic infarctions on brain

magnetic resonance imaging and diffuse vasculitis on vascular imaging.

Serological and cerebrospinal (CSF) fluid studies confirmed the

diagnosis of active LNB. Ceftriaxone for 3 weeks led to an excellent

recovery and improvements in the CSF examination findings.

Stroke physicians should be aware of this rare presentation of LNB. A

review of the current knowledge on cerebral vasculitis due to LNB is

provided.

http://dx.doi.org/10.1159/000155982