Lyme disease presenting as acute ischemic strokes with an embolic pattern
Ischemic stroke due to Lyme disease is considered a rare entity. We report a 76-year-old woman who presented with acute ischemic strokes with an embolic pattern. Her clinical course was challenged by pseudo-elevation of autoimmune antibodies and atypical radiological findings, which were unique to t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-12-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920303996 |
| _version_ | 1818275417536069632 |
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| author | Rahul Rahangdale Arthur Alcantara Lima Ashis Tayal Nitin Bhanot Thomas Scott |
| author_facet | Rahul Rahangdale Arthur Alcantara Lima Ashis Tayal Nitin Bhanot Thomas Scott |
| author_sort | Rahul Rahangdale |
| collection | DOAJ |
| description | Ischemic stroke due to Lyme disease is considered a rare entity. We report a 76-year-old woman who presented with acute ischemic strokes with an embolic pattern. Her clinical course was challenged by pseudo-elevation of autoimmune antibodies and atypical radiological findings, which were unique to this case. Lymphocytic pleocytosis in cerebrospinal fluid and positive Lyme antibodies were compatible with the Lyme neuroborreliosis (LNB). LNB-associated vasculopathy should be considered in patients presenting with acute ischemic strokes with an embolic pattern of undetermined etiology, especially in those who live in or have come from areas with high prevalence of tick-borne diseases. |
| first_indexed | 2024-12-12T22:29:25Z |
| format | Article |
| id | doaj.art-3cfb074df2724702aeb8c8ef2a31e77d |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-12T22:29:25Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-3cfb074df2724702aeb8c8ef2a31e77d2022-12-22T00:09:39ZengElsevierInterdisciplinary Neurosurgery2214-75192020-12-0122100838Lyme disease presenting as acute ischemic strokes with an embolic patternRahul Rahangdale0Arthur Alcantara Lima1Ashis Tayal2Nitin Bhanot3Thomas Scott4Department of Neurology, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA, USA; Corresponding author.Department of Neurology, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA, USADepartment of Neurology, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA, USADepartment of Infectious Disease, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA, USADepartment of Neurology, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA, USAIschemic stroke due to Lyme disease is considered a rare entity. We report a 76-year-old woman who presented with acute ischemic strokes with an embolic pattern. Her clinical course was challenged by pseudo-elevation of autoimmune antibodies and atypical radiological findings, which were unique to this case. Lymphocytic pleocytosis in cerebrospinal fluid and positive Lyme antibodies were compatible with the Lyme neuroborreliosis (LNB). LNB-associated vasculopathy should be considered in patients presenting with acute ischemic strokes with an embolic pattern of undetermined etiology, especially in those who live in or have come from areas with high prevalence of tick-borne diseases.http://www.sciencedirect.com/science/article/pii/S2214751920303996Lyme diseaseIschemic strokeLyme neuroborreliosis-associated vasculopathy |
| spellingShingle | Rahul Rahangdale Arthur Alcantara Lima Ashis Tayal Nitin Bhanot Thomas Scott Lyme disease presenting as acute ischemic strokes with an embolic pattern Interdisciplinary Neurosurgery Lyme disease Ischemic stroke Lyme neuroborreliosis-associated vasculopathy |
| title | Lyme disease presenting as acute ischemic strokes with an embolic pattern |
| title_full | Lyme disease presenting as acute ischemic strokes with an embolic pattern |
| title_fullStr | Lyme disease presenting as acute ischemic strokes with an embolic pattern |
| title_full_unstemmed | Lyme disease presenting as acute ischemic strokes with an embolic pattern |
| title_short | Lyme disease presenting as acute ischemic strokes with an embolic pattern |
| title_sort | lyme disease presenting as acute ischemic strokes with an embolic pattern |
| topic | Lyme disease Ischemic stroke Lyme neuroborreliosis-associated vasculopathy |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920303996 |
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