Acute neuroborreliosis

Overview

The authors describe two cases of acute neuroborreliosis. The combined findings of these two differing cases serve as a reminder of certain aspects of the diagnosis of neuroborreliosis: the lack of erythema makes early detection difficult, the traditional concept of peripheral facial paralysis from the cold may delay correct diagnosis, detailed examination of cerebrospinal fluid is the most important diagnostic tool in suspected neuroborreliosis, absence of antibodies in the serum does not rule out neuroborreliosis, IgG and IgM antibodies may persist for several years following successful treatment.

Key words:
neuroborreliosis, case history, clinical diagnosis, serological diagnosis, ELISA, Western blot