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A 74 year old woman presented with gait impairment,urinary incontinence, and dementia.She showed lymphocytic CSF pleocytosis and pronounced intrathecal Borrelia burgdorferi antibody production,indicating active Lyme neuroborreliosis.The syndrome of normal pressure hydrocephalus(NPH) fully remitted after ceftriaxone treatment.Lyme neuroborreliosis may cause NPH by interfering with subarachnoid CSF flow. |
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