Inside Lyme Podcast with Dr. Daniel Cameron

Secondary normal pressure hydrocephalus due to Lyme disease


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I will be discussing a unique case involving a 67-year-old man involving a patient who slowly began having difficulties with his balance. 

This case was described by Gimsing   and colleagues  in the journal Gimsing 

A 67-year-old man developed multiple symptoms over a 3- to 4-month period. He complained of balance problems, diffuse dizziness, urinary urge-incontinence, problems concentrating and with finding words, increased irritability, sore muscles of the arms muscles and around the neck, a moderate morning headache, and an increasing feeling of exhaustion. 

He had  enlarged ventricles in his brain that was presumed due to Normal Pressure Hydrocephalus (NPH) typically requiring a shunt from the brain to the stomach.

His diagnosed was changed to secondary normal pressure Hydrocephalus  (sNPH) based on an abnormal spinal tap.

His symptoms cleared and the enlarged ventricle in his brain resolved with doxycycline.

  1. Gimsing LN, Hejl AM. Normal pressure hydrocephalus secondary to Lyme disease, a case report and review of seven reported cases. BMC Neurol. Sep 16 2020;20(1):347 ,

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 Dr. Cameron is a Lyme disease expert and the author "Inside Lyme: An expert's guide to the science of Lyme disease." He has been treating adolescents and adults for more than 30 years.

Please remember that the advice given is general and not intended as specific advice as to any particular patient. If you require specific advice, then please seek that advice from an experienced professional.

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Inside Lyme Podcast with Dr. Daniel CameronBy Dr. Daniel Cameron

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