While the article below is about MS and lyme, it is informative concerning any neurological condition.
Of specific importance, I think, is that Dr. Goldings, who is a neurologist, details the importance of treating during the (minimal) four-month life span of the spirochete and discusses the various forms it can take and why long-term treatment is vital. --
Full article at link.
Excerpts / outline:
Symptoms of chronic involvement of the peripheral nervous system in a series of patients with chronic neurologic manifestations of Lyme disease developed a median of 16 months after the onset of infection, while CNS involvement began a median of 26 months after the onset of disease.
Controversies in Neuroborreliosis
Audrey Stein Goldings, M.D.
Updated October, 2002
The objectives of this article are to cover issues related to Lyme disease that are not even-handedly addressed in the current literature. It will: 1 Present a practical approach for making the diagnosis of neuroborreliosis,
2 Explore the other side of the post-Lyme syndrome (i.e. the likelihood of chronic ongoing infection),
3 Discuss the relationship between MS and Lyme,
4 Critique the current regimens published for treating neuroborreliosis, and
5 Present my own approach which may differ from some leading authorities.
``Anyone who, in discussion, relies upon authority uses not his understanding but rather his memory.''
--Leonardo da Vinci, Notebooks (c. 1500)
It is hoped this data will provide the reader with a broader understanding of neuroborreliosis so that he or she may better use current and evolving knowledge for clinical decision making.
I. NEUROBORRELIOSIS: MAKING THE DIAGNOSIS
CLINICAL DESCRIPTIONS OF NEUROBORRELIOSIS
CENTRAL NERVOUS SYSTEM INVOLVEMENT
PERIPHERAL NERVOUS SYSTEM INVOLVEMENT
CENTRAL NERVOUS SYSTEM
MENINGISMUS
LYMPHOCYTIC MENINGITIS
MENINGOENCEPHALOMYELITIS
PSYCHIATRIC DISORDERS
ADDITIONAL CNS TESTING: NEGATIVE TEST RESULTS DO NOT RULE OUT THE DIAGNOSIS OF NEUROBORRELIOSIS
THE PERIPHERAL NERVOUS SYSTEM
CHRONIC NEUROBORRELIOSIS
THE MOST COMMON PRESENTATION IS SAE, POLYNEUROPATHY, AND ARTHRITIS
II. CURRENT MEDICAL MYTHOLOGY
PERSISTENT INFECTION VERSUS POST-LYME SYNDROME
III. THE ASSOCIATION BETWEEN MULTIPLE SCLEROSIS AND LYME DISEASE: THREE DIFFERENT SCENARIOS
IV. WHAT'S WRONG WITH ``CURRENT GUIDELINES FOR TREATMENT'' OF NEUROBORRELIOSIS?
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