Atypical Lyme Neuroborreliosis, Guillain-Barr é Syndrome or Conversion Disorder: Differential Diagnosis of Unusual Neurological Presentations

We report the case of a 62-year-old woman presenting with asymmetrical tetraparesis and hyporeflexia. Initially the presumed diagnosis of Guillain-Barré syndrome with a possible functional component was suspected and treatment with intravenous immunoglobulin was initiated. Due to partial response to therapy and further test results including positive serologies and cerebrospinal fluid antibodies for Borrelia, the diagnosis of neuroborreliosis was considered. Furthe r exploring revealed the possibility of exposure to ticks although there was no report of typical skin lesions. Daily physical therapy and appropriate antibiotic treatment with parenteral ceftriaxone resulted in significant improvement of motor symptoms and functional status. The patient was dischar ged with marked functional improvement and indication for further physical rehabilitation.Case Rep Neurol 2019;11:142 –147
Source: Case Reports in Neurology - Category: Neurology Source Type: research

Related Links:

Hi all, I'm a 26 year old nontraditional trying to apply to PT school. I graduated with my BS in Industrial Design in 2017 and spent the last few years soul searching. I had only started exploring PT and shadowing in March (totaled 8 hours before COVID shut everything down.) Laid off from the pandemic, I started taking classes because I was fairly sure this is what I want to do. I was missing all the sciences because my degree didn't require them, but thankfully have 1 Psych, 2 English... Nontraditional Pre-PT, currently completing pre-reqs, should I apply this cycle?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pre-Physical Therapy Source Type: forums
Anyone got an interview invite for Tufts University DPT program?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pre-Physical Therapy Source Type: forums
Condition:   Stroke Patients Interventions:   Other: Routine conventional physical therapy plus Vibration session;   Other: Routine conventional physical therapy Sponsor:   Kırıkkale University Recruiting
Source: - Category: Research Source Type: clinical trials
rrera-Izquierdo M PMID: 32959360 [PubMed - in process]
Source: Revista de Neurologia - Category: Neurology Authors: Tags: Rev Neurol Source Type: research
Guillain-Barré and transverse myelitis overlap syndrome: two case reports. Med Clin (Barc). 2020 Sep 18;: Authors: Martín Moyano J, Delgado Gil V, García Martín G PMID: 32958265 [PubMed - as supplied by publisher]
Source: Medicina Clinica - Category: General Medicine Tags: Med Clin (Barc) Source Type: research
Source: International Journal of General Medicine - Category: General Medicine Tags: International Journal of General Medicine Source Type: research
Authors: Gatz M, Betsch M, Quack V, Bejder L, Schrading S, Tingart M, Dirrichs T Abstract BACKGROUND: Plantar fasciitis is a common cause of heel pain. Monitoring therapy effects is challenging with conventional B-mode ultrasound. Shear wave elastography (SWE) provides important diagnostic information beyond B-mode, with typically lower tissue stiffness in symptomatic plantar fascia. Up to now little is known about SWE features for therapy monitoring in plantar fasciitis. We evaluated the clinical effects of a 3-month physical therapy based treatment and its influence on B-mode and SWE ultrasound findings in patien...
Source: Journal of Sports Medicine and Physical Fitness - Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
Publication date: Available online 21 September 2020Source: Ticks and Tick-borne DiseasesAuthor(s): Seungeun Han, Graham J. Hickling, Nicholas H. Ogden, Howard S. Ginsberg, Vishvapali Kobbekaduwa, Eric L. Rulison, Lorenza Beati, Jean I. Tsao
Source: Ticks and Tick borne Diseases - Category: Zoology Source Type: research
This article reviews bacterial, viral, fungal, and parasitic pathogens associated with myelopathy. Infectious myelopathies may be due to direct infection or parainfectious autoimmune-mediated mechanisms; this article focuses primarily on the former. RECENT FINDINGS Some microorganisms exhibit neurotropism for the spinal cord (eg, enteroviruses such as poliovirus and flaviviruses such as West Nile virus), while others are more protean in neurologic manifestations (eg, herpesviruses such as varicella-zoster virus), and others are only rarely reported to cause myelopathy (eg, certain fungal and parasitic infections). Indiv...
Source: CONTINUUM: Lifelong Learning in Neurology - Category: Neurology Tags: Review Articles Source Type: research
Guillain-Barre Syndrome (GBS) is a life-threatening condition in which patients may present to the Emergency Department in respiratory distress leading to death. The early identification and treatment of such a condition is paramount in preventing mortality. While there are many infections associated with GBS, the association with Lyme disease is uncommon. Through our case we aim to highlight Borrelia burgdorferi as an important antecedent infection associated with the development of GBS. In this case we report a 31-year-old male who was diagnosed with Lyme disease and GBS with relevant clinical presentation including prog...
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
More News: Borrelia | Brain | Ceftriaxone | Guillain-Barr Syndrome | Lyme Disease | Neurology | Physical Therapy | Rehabilitation | Rocephin | Skin