don't read melvin!!!!



1: J Neurol Neurosurg Psychiatry. 1998 May;64(5):636-42. Related
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Comment in:
J Neurol Neurosurg Psychiatry. 1999 Jun;66(6):806-7.

Intracranial aneurysms in three patients with disseminated Lyme
borreliosis: cause or chance association?

Oksi J, Kalimo H, Marttila RJ, Marjamaki M, Sonninen P, Nikoskelainen
J, Viljanen MK.

Department of Internal Medicine, Turku University Central Hospital,
Finland. jarmo.oksi@xxxxxx

METHODS: Three patients with Borrelia burgdorferi infection and
intracranial aneurysms are described. RESULTS: All three patients had
neurological symptoms. Perivascular and vasculitic lymphocytic
inflammation were detected in the brain biopsy specimen of one patient.
The aneurysm was located in the internal carotid arteries in two
patients and in the basilar artery in one patient. The aneurysm
ruptured in two patients. CONCLUSIONS: Cerebral lymphocytic vasculitis
and intracranial aneurysms may be associated with B burgdorferi
infection. It is suggested that inflammatory changes caused by B
burgdorferi in vessel walls may be a pathogenetic mechanism for the
formation of aneurysms.

Publication Types:
Case Reports

PMID: 9598680 [PubMed - indexed for MEDLINE]

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