Ischemic Stroke: Do Not Forget Lyme Neuroborreliosis.

Moreno Legast G, et al. Case Rep Neurol Med. 2018.

Lyme neuroborreliosis is a rare cause of ischemic stroke; it has only been described in case reports and mostly in Europe. Diagnostic criteria have been proposed for Lyme neuroborreliosis but the association with a cerebral ischemic presentation is not always straightforward. We here describe the case of an 83-year-old man for whom we strongly suspect Lyme neuroborreliosis as the etiology of his stroke. This case reminds us of the importance of a thorough history taking (i.e., tick bite) and to perform the adequate ancillary tests accordingly (lumbar puncture) so as to propose validated treatment.



This is rich.  They explain that cerebral ischemic presentation is not always straightforward yet announce with confidence that Lyme is a rare cause of it.  How do you know?  Just because it isn’t bountiful in the literature does not mean isn’t out here.  Remember, the testing only gets about 50% of those infected.  All those folks are misdiagnosed with something else.  Anything but Lyme/MSIDS!   Is anyone even looking for it?  Nope.

Don’t call anything about Lyme/MSIDS rare.  It’s just a matter of time before articles burgeon with all the ways it presents itself.  Until that time, just know, it’s out here – a lot.

Also, please know that one of the only ways Lyme/MSIDS has made the map is by case studies.  Research on all things in Lyme land is abysmal, so take the case studies seriously.