Abstract
Lyme disease is a tick-borne illness caused by a species of the spirochete Borrelia (B. burgdorferi, B. afzelii, B. garinii). The most common manifestation of nervous system Lyme disease is cranial –mostly facial – nerve palsy (Brunner J et al., Klin Padiatr 2010; 222; 302–307). Central nervous system involvement is seen in a minority of the patients as lymphocytic meningitis, whereas encephalitis is even more rare and usually accompanied by myelitis (Steere et al., N Engl J Med 2001; 345: 115–125). We present 2 cases with an unusual Lyme infection in the central nervous system.
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