Author/Editor		Millner, MM
Title		Diagnostic problems of (neuro)borreliosis in children
Type		članek
Source		Acta Dermatovenerol Alp Pannon Adriat
Vol. and No.		Letnik 5, št. 3-4
Publication year		1996
Volume		str. 155-8
Language		eng
Abstract		The clinical picture of infections by Borrelia burgdorferi spirochetes differs in some respects. The Bannwarth syndrome (painful radiculoneuritis) occurs only in adults and acrodermatitis chronica atrophicans in children is observed very rare. The most typical neurological manifestation of Lyme Borreliosis in childhood is the cranial nerve palsy, especially the peripheral facial nerve palsy. This palsy presents as "isolated" in the majority of cases, i.e. without any clinical signs or symptoms of meningitis. However, in nearly all children with cranial nerve palsy caused by Borrelia burgdorferi there is evidence of simultaneous aseptic meningitis in cerebrospinal fluid. Thus, a lumbar puncture is mandatory in every case of facial palsy to confirm or exclude the diagnosis of a neuroborreliosis. The clinical spectrum of neuroborreliosis in children and supportive diagnostic parameters in clinically inconclusive cases are discussed.
Descriptors		LYME DISEASE NERVOUS SYSTEM DISEASES CHILD