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莱姆病(Lyme 病)是由伯氏疏螺旋体引起的一种蜱媒传染病,可有多样神经病学异常,许多病人早期即有头痛与轻度假性脑脊髓膜炎,几周内约有15%的病人出现神经系统症状,这些早期神经病变均可用抗生素治愈,或甚至不治疗,亦可在几个月内恢复正常。为了进一步探讨莱姆病的慢性神经系统异常,作者对27例(25～72岁)起病后数月至数年发生慢性神经病学异常的莱姆病患者的临床经过、诊断要点及治疗效果进行了研究。患者以往均有过莱姆病体征、对伯氏疏螺旋体有阳性免疫表现,其慢性神经病学症状至少持续3个月且无其他原因可查。其中8例于感染
Lyme disease is a tick-borne infectious disease caused by Borrelia burgdorferi and has a variety of neurological abnormalities. Many patients have early-onset headache and mild episodes of meningococcal meningitis. In a few weeks, about 15 Of the patients with neurological symptoms, these early neuropathy can be cured with antibiotics, or even without treatment, can return to normal within a few months. To further investigate the chronic neurological abnormalities of Lyme disease, the authors reviewed the clinical course, diagnosis points and therapeutic effects of Lyme disease patients with chronic neurological abnormalities occurring in 27 cases (25-72 years old) Study. Patients had previous Lyme disease signs, positive for Borrelia burgdorferi immune manifestations, the chronic neurological symptoms persist for at least 3 months and no other reason can be investigated. Eight of them were infected