Neuroborreliosis is a manifestation of Lyme disease in the central nervous system (brain and spinal cord). It often develops months or years after the initial infection. Its symptoms are comparable to those of meningoradiculitis, as well as the loss of cranial nerves such as paresis of the facial nerve and psychiatric abnormalities. Patients’ complaints also include headaches, chronic fatigue, visual disturbances, sensitivity to light and noise, and mood swings.
50% of those affected by a tick bite do not develop erythema migrans. Since the bite is often overlooked and/or painless, the disease can often progress unhindered.
Symptoms and course
Doctors distinguish between acute and chronic neuroborreliosis. The latter is when the symptoms last longer than six months.