Journal of Neurology

, Volume 242, Issue 9, pp 604–607 | Cite as

Neuroborreliosis as a cause of respiratory failure

  • Mark T. Silva
  • Mark Sophar
  • Robin S. Howard
  • Geoffrey T. Spencer
Original Communication


We report three cases of neuroborreliosis presenting with acute respiratory impairment. All the patients had encephalopathy and focal neurological signs with brain stem abnormalities in two. All three patients had respiratory arrest associated with progressive nocturnal hypoventilation or prolonged central apnoea. Tracheostomy and prolonged periods of ventilatory support were necessary in all cases and weaning was complicated by residual central respiratory disturbances. These cases emphasise thatBorrelia infection should be considered in the differential diagnosis of unexplained respiratory failure.

Key words

Neuroborreliosis Respiratory failure 


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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • Mark T. Silva
    • 1
    • 2
  • Mark Sophar
    • 1
    • 2
  • Robin S. Howard
    • 1
    • 2
  • Geoffrey T. Spencer
    • 1
    • 2
  1. 1.Lane Fox Respiratory UnitSt. Thomas' HospitalLondonUK
  2. 2.Batten/Harris UnitNational Hospital for Neurology and NeurosurgeryLondonUK

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