EEG with triphasic waves in Borrelia burgdorferi meningoencephalitis.
We describe a case of encephalopathy in which the clinical picture and triphasic waves in the EEG indicated a metabolic cause. However, the illness was caused by neuroborreliosis. The occurrence of triphasic waves in the EEG is a strong evidence of metabolic encephalopathy, but triphasic waves are not specific for metabolic encephalopathy. Triphasic waves have been described in a number of non-metabolic encephalopaties and structural brain lesions. To our knowledge, this is the first report of triphasic waves in Borrelia burgdorferi meningoencephalitis.
Eriksson
B
B
Division of Clinical Neurology, Lund University Hospital, Lund, Sweden. Bengt.B.Eriksson@skane.se
Wictor
L
L
D000200:Action Potentials / Q000502:physiology; D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D025065:Borrelia burgdorferi; D001921:Brain / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology; D002555:Cerebrospinal Fluid / Q000166:cytology / Q000276:immunology / Q000382:microbiology; D004318:Doxycycline / Q000627:therapeutic use; D004569:Electroencephalography; D005260:Female; D006801:Humans; D007964:Leukocytosis / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology; D020852:Lyme Neuroborreliosis / Q000175:diagnosis* / Q000503:physiopathology*; D008590:Meningoencephalitis / Q000175:diagnosis* / Q000382:microbiology / Q000503:physiopathology*; D043025:Oligoclonal Bands / Q000134:cerebrospinal fluid; D010291:Paresis / Q000382:microbiology; D011237:Predictive Value of Tests; D053608:Stupor / Q000382:microbiology; D013987:Ticks; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D043025:Oligoclonal Bands; D004318:Doxycycline