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Results of a prospective standardized study of 30 patients with chronic neurological and cognitive disorders after tick bites

机译:tick咬后对30例慢性神经系统和认知障碍患者进行前瞻性标准化研究的结果

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OBJECTIVE: Patients with chronic neurological disorders and cognitive impairment after tick bites are difficult to manage despite standard antibiotic therapy for Lyme disease. We wanted to correctly assess the disorders. METHODS: Thirty patients were hospitalized for a standardized evaluation of their disorders: clinical examination, biological and serological studies, cerebral MRI, CSF study, neurophysiological exams, and neuropsychological evaluation of cognitive functions. RESULTS: Clinical and biological results were non informative. We observed significant CSF abnormalities (64%), MRI Flair pictures (41%), neurophysiological exams (47%), and cognitive evaluation (100%). CONCLUSIONS: A large and standardized evaluation should be made for each patient to improve the management and probably the treatment of these complex chronic symptoms observed after tick bites.
机译:目的:尽管对莱姆病进行了标准的抗生素治疗,但tick咬后患有慢性神经系统疾病和认知障碍的患者仍难以治疗。我们想正确评估这些疾病。方法:30名患者入院以对其疾病进行标准化评估:临床检查,生物学和血清学研究,脑部MRI,CSF研究,神经生理学检查以及认知功能的神经心理学评估。结果:临床和生物学结果均无资料。我们观察到严重的CSF异常(64%),MRI Flair图片(41%),神经生理学检查(47%)和认知评估(100%)。结论:应为每位患者进行大规模的标准化评估,以改善tick叮咬后观察到的这些复杂的慢性症状的管理以及可能的治疗。

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