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Christian Enzinger, MD; Barbara Melisch, MD; Alexander Reischl, MD; Josef Simbrunner, MD; Franz Fazekas, MD

Arch Neurol. 2009;66(7):904-905.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 58-year-old man had rapidly progressive and painful paresis of the left leg. He described a tick bite 3 weeks prior to admission without having been vaccinated for tick-borne encephalitis virus (TBEv). Neurological examination showed pronounced diffuse paresis, hypesthesia, and diminished tendon reflexes of the left lower extremity. Analysis of cerebrospinal fluid demonstrated lymphoplasmacellular moderate pleocytosis (cell count, 44/µL; protein [total], 0.260 g/dL [to convert to grams per liter, multiply by 10.0]; glucose, 58 mg/dL [to convert to millimoles per liter, multiply by 0.0555]; lactate, 18.0 mg/dL [to convert to millimoles per liter, multiply by 0.111]) and detected IgM and IgG against TBEv. In the cerebrospinal fluid, oligoclonal bands were present, but identical bands were identified in the blood. In the serum, IgM against TBEv were also detected, and the IgG titer was elevated (94 . . . [Full Text of this Article]

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