Lyme neuroborreliosis in cases of non-specific neurological symptoms

Abstract

MAIN POINTS There was a low probability of Lyme neuro-borreliosis in cases of prolonged non-spe-cific neurological symptoms, including when anti-Borrelia antibodies were detec-ted in serum Lyme neuroborreliosis should be suspected in patients with painful radiculitis that worsens at night, especially when accompa-nied by numbness in a dermatomal distribu-tion and peripheral facial nerve palsy Patients with symptoms of Lyme neuro-borreliosis should be assessed with lumbar puncture BACKGROUND Analysis of cerebrospinal fluid is required in order to diagnose Lyme neuro-borreliosis. We investigated the symptoms of patients in a highly endemic area who were referred for evaluation of possible Lyme neuroborreliosis, and explored whether cerebro-spinal fluid analysis confirmed or ruled out the diagnosis.