Comment; Fascinating and sobering that post-concussion syndrome patients have such a high rate of Borrelia serology presence, great insight into testing these two syndromes with such similar presentation and different therapy! Let’s put this to work and help more suffering patients!
Sergio Azzolino and Frederick R. Carrick
Frontiers in Neurology, Conference Abstract: International Symposium on Clinical Neuroscience 2018. Published online December 14, 2018.
Introduction
Traumatic brain injuries and Lyme disease compromise the health and activities of millions of patients per year. The chronic symptoms and disability of traumatic brain injuries (TBI) and Lyme disease share a similar clinical presentation. Despite many concussions healing relatively quickly, a number of these patients are refractory to healing and have persistent disabling symptoms called post-concussion syndrome (PCS).
Furthermore, according to the Centers for Disease Control and Prevention (CDC), Lyme disease is the most commonly reported vector-borne illness and the fifth most common disease in the National Notifiable Diseases Surveillance System, making it an important public health concern. Neurological manifestations of Lyme disease, called Neuroborreliosis, are reported in up to 15% of patients with Lyme disease. We have identified an alarming number of individuals suffering from PCS that are refractory to care and that have serologically tested positive for Lyme disease. As a consequence we started to routinely test PCS patients for Lyme disease that had no history of or testing for Lyme disease.
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