Neurological and psychological symptoms after the severe acute neuroborreliosis.
Gustaw K, Beltowska K, Studzinska MM.
Outpatients Neurological Department, Institute of Agricultural Medicine,
Jaczewskiego 2, P.O. Box 185, 20-950 Lublin, Poland. email@example.com
The purpose of this study was to delineate distant neurological and
neuropsychological effects of severe neuroborreliosis. A group of 33 patients
(12 men and 21 women) were selected for the study. Every patient had suffered
from severe meningitis, meningoencephalitis or meningopolyradiculoneuritis due
to neuroborreliosis in the chronic form of the illness. Standardised medical
interview, physical examination and a series of neuropsychological tests
(WAIS-R, BDI, BENTON-BENDER, DUM) were performed. In the clinical history,
36.4% of the patients complained of headache, 27.3% of subjective memory
distortions; 33.3% of the patients suffered from sleeplessness. The
neurological examination showed that 36.4% of the patients experienced such
cerebellum integrity disturbances as abnormalities in gait and coordination or
even mild ataxia. 21.2% of the patients experienced dysfunction in the
proprioceptive pathways, 9% asymmetry in deep tendon reflexes (DTR's), 27.3%
disturbances in the sensory responses. The examination showed, however, no
muscular strength abnormalities. Half of the patients had slight depression.
Psychological tests indicated that 21.2% of the patients had problems in
thinking process and experienced memory impairment. 36.4% of the patients had
significant organic damage in the central nervous system. The results of this
study suggest the existence of long-lasting consequences of acute
neuroborreliosis, which can significantly influence the quality of life of