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Tick-borne Encephalitis: Stroke-like Presentation |
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| Authors: | Andreas Eleftheriou Fredrik Lundin Evangelos Alexandros Petropoulos |
| Institution: | 2. Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden;3. Department of Neurology, University Hospital, Linköping, Sweden |
| Abstract: | Tick-borne encephalitis, caused by the tick-borne virus (TBEV), is endemic in central, eastern, and northern Europe eastwards through Russian Siberia and China. For the year 2009, the highest incidence in Scandinavian countries was in Sweden. The clinical symptoms have a wide spectrum. We report a unique case of clinical symptoms and radiological findings compatible with a stroke-like inflammatory lesion in the thalamus, suggesting microangiopathy from TBEV. Our case shows that TBEV could be a possible cause of stroke-like lesions. |
| Keywords: | Address correspondence to Andreas Eleftheriou MD Department of Neurology University Hospital Garnisonsvägen 10 58750 Linköping Sweden Tick-borne encephalitis thalamus cerebral infarction cerebrovascular disease DWI ADC TBE tick-borne encephalitis TBEV tick-borne virus CNS central nervous system BPM beats per minute CRP c - reactive protein CT computer tomography LP lumbar puncture ER emergency department CSF cerebrospinal fluid MRI magnet resonance imaging TOF time of flight angiography VIEU VIENNA units FLAIR T2-weighted-fluid-attented inversion recovery DWI diffusion-weighted magnetic-resonance imaging ADC apparent diffusion coefficient TLR3 toll-like receptor 3 dsRNA double-stranded ribonucleic acid NK natural killers CCR5 C-C chemokine receptor type 5 IgG immunoglobulin |
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