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Neuropediatrics 2005; 36(2): 104-107
DOI: 10.1055/s-2005-837573
Short Communication

Georg Thieme Verlag KG Stuttgart · New York

Neuroborreliosis Causing Focal Cerebral Arteriopathy in a Child

M. G. P. J. Cox1 , T. F. W. Wolfs2 , T. H. Lo3 , L. J. Kappelle4 , K. P. J. Braun1
  • 1Department of Child Neurology, University Medical Center, Utrecht, The Netherlands
  • 2Department of Pediatric Infectiology, University Medical Center, Utrecht, The Netherlands
  • 3Department of Radiology, University Medical Center, Utrecht, The Netherlands
  • 4Department of Neurology, University Medical Center, Utrecht, The Netherlands
Further Information

Publication History

Received: November 28, 2004

Accepted: January 29, 2005

Publication Date:
18 March 2005 (online)

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Abstract

A 9-year-old girl presented with an acute right-sided hemiparesis. Initially, the clinical presentation and stable vasculopathic abnormalities on MR and conventional angiography were suspicious of a so-called “transient cerebral arteriopathy”. Mild but persistent pleocytosis and an elevated CSF IgG index led to an extensive search for infectious and immunological causes of cerebral vasculitis, eventually revealing neuroborreliosis. Although rare, infectious and potentially treatable causes of arterial ischemic stroke should be considered in every child with a documented cerebral arteriopathy.

Key words

Neuroborreliosis - arteriopathy - stroke - child

References

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MD, PhD Kees P. J. Braun

Department of Paediatric Neurology
Wilhelmina Children's Hospital
University Medical Center Utrecht

PO Box 85090

3508 AB Utrecht

The Netherlands

Email: k.braun@wkz.azu.nl

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