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Subarachnoid hemorrhage due to Borrelia burgdorferi ‐associated vasculitis
Author(s) -
Jacobi C.,
Schwark C.,
Kress B.,
Hug A.,
StorchHagenlocher B.,
Schwaninger M.
Publication year - 2006
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.2006.01335.x
Subject(s) - medicine , neuroborreliosis , erythema chronicum migrans , borrelia burgdorferi , subarachnoid hemorrhage , lyme neuroborreliosis , lyme disease , vasculitis , meningitis , surgery , radiology , disease , virology , antibody , immunology
We report the case history of a patient who suffered a subarachnoid hemorrhage (SAH) in association with early Lyme neuroborreliosis. After a tick bite, this patient developed erythema chronicum migrans and complained of stinging radicular pain in both legs. A computed tomography (CT) scan was performed because of acute headache and nuchal rigidity, which revealed an occipital SAH. Cerebrospinal fluid analysis provided further evidence of acute neuroborreliosis. Digital substraction angiography showed irregularities in the right posterior cerebral artery, which might be due to vasculitis, but no aneurysms.