2393 KB10 KB199220251996Millner, M... M.številka:3-4letnik:5str. 155-158ISSN:1318-4458COBISSID_HOST:5109721URN:URN:NBN:SI:doc-F4UBBTGTenSlovene Welding SocietyActa dermatovenerologica Alpina, Pannonica et AdriaticaChildDiagnosisEtiologyLyme diseaseNervous system diseasesDiagnostic problems of (neuro)borreliosis in children|The clinical picture of infections by Borrelia burgdorferi spirochetes differs in some respects. The Bannwarth syndrome (painful radiculoneuritis) occurs only in adults and acrodermatitis chronica atrophicans in children is observed very rare. The most typical neurological manifestation of Lyme Borreliosis in childhood is the cranial nerve palsy, especially the peripheral facial nerve palsy. This palsy presents as "isolated" in the majority of cases, i.e. without any clinical signs or symptoms of meningitis. However, in nearly all children with cranial nerve palsy caused by Borrelia burgdorferi there is evidence of simultaneous aseptic meningitis in cerebrospinal fluid. Thus, a lumbar puncture is mandatory in every case of facial palsy to confirm or exclude the diagnosis of a neuroborreliosis. The clinical spectrum of neuroborreliosis in children and supportive diagnostic parameters in clinically inconclusive cases are discussedTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaZdruženje slovenskih dermatovenerologov