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

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

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
European Paediatric Neurology Society Congress, 9th EPNS Congress / - , 2011

Skup
European Paediatric Neurology Society Congress, 9th EPNS Congress

Mjesto i datum
Cavtat, Hrvatska, 11.05.2011. - 14.05.2011

Vrsta sudjelovanja
Poster

Vrsta recenzije
Nije recenziran

Ključne riječi
EEG; Lyme disease; child; peripheral facial palsy

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA