علاج داء لايم العصبي البوريلي مع التهاب الأوعية الدماغية الناجم عن البوريليا

References

DOI: 10.3205/000349

• In very rare cases, cerebral symptoms (e.g. strokes) are caused by a Borrelia-induced vasculitis.
• Borrelia-induced cerebral vasculitis: rare, mainly ischemic events in different areas of the bloodstream with corresponding neurological symptoms.
• Cerebral vasculitis resulting from Lyme borreliosis should be treated with antibiotics in accordance with the recommendations for "late" Lyme neuroborreliosis.
• Case reports, case series and narrative reviews have reported that early antibiotic treatment with ceftriaxone and/or doxycycline has very good outcomes.
• Analogous to the recommendations for cerebral vasculitis of another aetiology (DGN S1 guideline on cerebral vasculitis, AWMF Register No. 030-085), the additional administration of steroids and/or 100 mg/d of ASA can be considered for cerebral vasculitis resulting from Lyme borreliosis.