VASCULAR NEUROBORRELIOSIS WITH HEMIPARESI S IN A 9-YEAR OLD BOY

After a six months history of recurrent headache, nausea, vomiting, an orectic and depressiv symptoms a 9 year-old boy developed a left-sided hemiparesis. in his spinal fluid he had an elevated cell-count and al bumin, positive IgG- and IgM-antibody-titers to Borrelia burgdorferi a s well as oligoclonal IgG-bands. An MR-scan of the brain showed multif ocal signs of reduced perfusion on the right side and the EEG showed a pronounced slowness in right-side activity. The spastic hemiparesis p artially receded after intravenous penicillin G and supportive physiot herapy. Similarly documented cases of vasculitic neuroborreliosis in c hildhood are not often found in the literature. In the presence of uns pecific symptoms and/or acute hemiparesis one should consider neurobor reliosis, even in childhood.