莱姆病神经螺旋体病表现为爱丽丝梦游仙境综合症

IF 3.2 3区 医学 Q2 CLINICAL NEUROLOGY
Ibrahim M. Binalsheikh MD, David Griesemer MD, Sonya Wang MD, Rebeca Alvarez-Altalef MD
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引用次数: 26

摘要

我们描述了一个7岁的男孩爱丽丝梦游仙境综合征与莱姆病相关。在没有蜱虫叮咬或其他莱姆病症状的情况下,他表现出变形和幻听。该男孩从未出现临床癫痫发作,在这些发作期间的脑电图显示没有癫痫活动。无偏头痛病史。颅磁共振成像结果正常。莱姆病血清和脑脊液检测均呈阳性。静脉注射头孢曲松3周,症状完全消失。据我们所知,这是第一例以爱丽丝梦游仙境综合征表现的神经螺旋体病,经静脉抗生素治疗后症状完全消失。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lyme Neuroborreliosis Presenting as Alice in Wonderland Syndrome

We describe a 7-year-old boy with Alice in Wonderland syndrome associated with Lyme disease. He presented with metamorphopsia and auditory hallucinations in the absence of previous tick bites or other signs of Lyme disease. The boy never developed clinical seizures, and electroencephalograms during these spells indicated no epileptic activity. There was no history of migraine. Cranial magnetic resonance imaging produced normal results. Lyme serology tested positive in both serum and cerebrospinal fluid. He was treated with intravenous ceftriaxone for 3 weeks, with complete resolution of signs. This case report is the first, to our knowledge, of neuroborreliosis presenting as Alice in Wonderland syndrome with complete resolution of findings after intravenous antibiotic treatment.

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来源期刊
Pediatric neurology
Pediatric neurology 医学-临床神经学
CiteScore
4.80
自引率
2.60%
发文量
176
审稿时长
78 days
期刊介绍: Pediatric Neurology publishes timely peer-reviewed clinical and research articles covering all aspects of the developing nervous system. Pediatric Neurology features up-to-the-minute publication of the latest advances in the diagnosis, management, and treatment of pediatric neurologic disorders. The journal''s editor, E. Steve Roach, in conjunction with the team of Associate Editors, heads an internationally recognized editorial board, ensuring the most authoritative and extensive coverage of the field. Among the topics covered are: epilepsy, mitochondrial diseases, congenital malformations, chromosomopathies, peripheral neuropathies, perinatal and childhood stroke, cerebral palsy, as well as other diseases affecting the developing nervous system.
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