Summary:
The authors describe two cases of acute neuroborreliosis. The combined findings of these two differing
cases serve as a reminder of certain aspects of the diagnosis of neuroborreliosis: the lack of erythema makes
early detection difficult, the traditional concept of peripheral facial paralysis from the cold may delay cor-
rect diagnosis, detailed examination of cerebrospinal fluid is the most important diagnostic tool in suspec-
ted neuroborreliosis, absence of antibodies in the sérum does not rule out neuroborreliosis, IgG and IgM
antibodies may persist for several years following successful treatment.
Key words:
neuroborreliosis, čase history, clinical diagnosis, serological diagnosis, ELISA, Western blot
|