Neuroborreliosis in county Baranya, Hungary

Endre Pál, Zita Barta, Ferenc Nagy, Mária Wágner, László Vécsei

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Abstract

The incidence and clinical characteristics of Lyme neuroborreliosis (NB) in a region of high prevalence of tick-bite in Hungary is described. In the county Baranya 66 patients were recorded in a five-year period (1989-93). Fifty-six patients (85%) were in 'early', and 10 patients (15%) in 'late stage' of NB. The sex distribution was equal. The incidence of NB was 2.9- 100,000/year in this region. The incidence of radiculitis/neuritis, meningitis, encephalitis and myelitis in the sample was 56.1%, 19.7%, 18.2% and 6%, respectively. The EEG and evoked potentials showed both central and peripheral neural involvement, EMG and ENG abnormalities were related to the peripheral clinical signs. Non-specific white matter lesions could be found by MRI in 5 patients with central involvement. Cerebrospinal fluid changes were not obligatory but a better indicator of inflammatory process in cases with meningitis and/or encephalitis forms (positivity 75%) than in cases with myelitis and radiculitis (positivity 49%).

Original languageEnglish
Pages (from-to)37-46
Number of pages10
JournalFunctional neurology
Volume13
Issue number1
Publication statusPublished - Jan 1 1998

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Keywords

  • Epidemiology
  • Lyme disease
  • Neuroborreliosis
  • Serology

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

Cite this

Pál, E., Barta, Z., Nagy, F., Wágner, M., & Vécsei, L. (1998). Neuroborreliosis in county Baranya, Hungary. Functional neurology, 13(1), 37-46.