Letter to the Editor| Volume 366, P146-148, July 15, 2016

Dramatic response to a 3-week course of ceftriaxone in late neuroborreliosis mimicking atypical dementia and normal pressure hydrocephalus


      • Late Lyme neuroborreliosis (LNB) rarely can resemble normal pressure hydrocephalus.
      • Late LNB can lead to cognitive decline, extrapyramidal symptoms, and gait disorder.
      • Late LNB can mimic more common neurological disorders.
      • Cerebrospinal fluid examination is warranted, if late LNB is a differential.
      • A single 3-week course of ceftriaxone may lead to complete clinical restitution.


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