Lyme neuroborreliosis disguised as normal pressure hydrocephalus.

Danek, A; Uttner, I; Yoursry, T; Pfister, H W · Neurology · 1996

case_report · Level V

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Abstract

A 74-year-old woman presented with gait impairment, urinary incontinence, and dementia. She showed lymphocytic CSF pleocytosis and pronounced intrathecal Borrelia burgdorferi antibody production, indicating active Lyme neuroborreliosis. The syndrome of normal-pressure hydrocephalus (NPH) fully remitted after ceftriaxone treatment. Lyme neuroborreliosis may cause NPH by interfering with subarachnoid CSF flow.

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