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EEG as a predictor of Lyme disease in a child with a peripheral facial palsy (CROSBI ID 578757)

Prilog sa skupa u zborniku | sažetak izlaganja sa skupa

Malenica, Maša ; Cvitanović-Šojat, Ljerka ; Gjergja-Juraški, Romana ; Tešović, Goran EEG as a predictor of Lyme disease in a child with a peripheral facial palsy // European Paediatric Neurology Society Congress, 9th EPNS Congress. 2011

Podaci o odgovornosti

Malenica, Maša ; Cvitanović-Šojat, Ljerka ; Gjergja-Juraški, Romana ; Tešović, Goran

engleski

EEG as a predictor of Lyme disease in a child with a peripheral facial palsy

Background: Although EEG changes in encephalopathies are known, diagnostic criteria for possible, probable, or definite neuroborreliosis still do not include EEG findings. Aim of the study: We suspected neuroborreliosis in a patient with peripheral facial palsy without history of a tick bite using EEG findings . Methods: Blood count and serum chemistry, serum and liquor serology, ECG, EEG, MRI of the brain, cardiology, dermatology, ophtalmology and physiatric consultation were done during the course of the disease. Results: The patient presented with peripheral facial palsy as single symptom. Brain MRI, blood count and serum chemistry showed no abnormality. EEG on day 6 demonstrated nonspecific generalized slowing, focal centrofrontal slowing, and grouped high voltage parieto-occipital bilateral slow waves, vulnerable to hyperventilation, with no epileptiform activity. We suspected Lyme disease, and with later development of erythema migrans, fever, malaise and positive serology for Borrelia burgdorferi in serum and liquor neuroborreliosis was confirmed. Serology for tick- borne encephalitis was negative. Because of the left hemiblock on ECG, ECHO was performed. The patient received 2g of ceftriaxone i.v. for 14 days. EEG findings were normalized and facial nerve function restored. Conclusion: Our patient who presented with peripheral nerve palsy and no history of tick bite had EEG changes which led us to investigate for and prove Lyme disease. Our case is a further confirmation that EEG findings could be indicative of Lyme disease.

EEG; Lyme disease; child; peripheral facial palsy

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Podaci o prilogu

2011.

objavljeno

Podaci o matičnoj publikaciji

European Paediatric Neurology Society Congress, 9th EPNS Congress

Podaci o skupu

European Paediatric Neurology Society Congress, 9th EPNS Congress

poster

11.05.2011-14.05.2011

Dubrovnik, Hrvatska; Cavtat, Hrvatska

Povezanost rada

Kliničke medicinske znanosti