Lyme neuroborreliosis masquerading as a brainstem tumor in a 15-year- old

Richard G. Curless, Norman J. Schatz, Brian C. Bowen, Zoe Rodriguez, Armando Ruiz

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14 Scopus citations

Abstract

A 15-year-old boy had onset of unilateral facial weakness. A few days later, he experienced mild vertigo, double vision, and headache. Examination confirmed a peripheral right seventh nerve weakness in addition to an internuclear ophthalmoplegia. The neurologic features suggested a pontine glioma. A T2-weighted MRI scan revealed demyelinating lesions in the pons and in several areas of the cerebrum, including the periventricular region. Subsequent history revealed that he had been diagnosed with Lyme arthritis 7 years earlier while living in Connecticut. The radiographic studies favored a diagnosis of multiple sclerosis. However, studies of blood and cerebrospinal fluid established a diagnosis of Lyme neuroborreliosis.

Original languageEnglish
Pages (from-to)258-260
Number of pages3
JournalPediatric Neurology
Volume15
Issue number3
DOIs
StatePublished - Oct 1 1996
Externally publishedYes

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ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Developmental Neuroscience
  • Neurology

Cite this

Curless, R. G., Schatz, N. J., Bowen, B. C., Rodriguez, Z., & Ruiz, A. (1996). Lyme neuroborreliosis masquerading as a brainstem tumor in a 15-year- old. Pediatric Neurology, 15(3), 258-260. https://doi.org/10.1016/S0887-8994(96)00172-5