Tick-borne Encephalitis: Stroke-like Presentation

J Stroke Cerebrovasc Dis. 2019 Aug;28(8):e119-e122. doi: 10.1016/j.jstrokecerebrovasdis.2019.05.028. Epub 2019 Jun 10.

Abstract

Tick-borne encephalitis, caused by the tick-borne virus (TBEV), is endemic in central, eastern, and northern Europe eastwards through Russian Siberia and China. For the year 2009, the highest incidence in Scandinavian countries was in Sweden. The clinical symptoms have a wide spectrum. We report a unique case of clinical symptoms and radiological findings compatible with a stroke-like inflammatory lesion in the thalamus, suggesting microangiopathy from TBEV. Our case shows that TBEV could be a possible cause of stroke-like lesions.

Keywords: ADC; DWI; Tick-borne encephalitis; cerebral infarction; cerebrovascular disease; thalamus.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Anti-Infective Agents / therapeutic use
  • Diffusion Magnetic Resonance Imaging
  • Encephalitis Viruses, Tick-Borne / pathogenicity*
  • Encephalitis, Tick-Borne / complications
  • Encephalitis, Tick-Borne / diagnosis
  • Encephalitis, Tick-Borne / drug therapy
  • Encephalitis, Tick-Borne / virology*
  • Humans
  • Male
  • Middle Aged
  • Stroke / diagnostic imaging
  • Stroke / drug therapy
  • Stroke / virology*
  • Thalamus / blood supply*
  • Thalamus / diagnostic imaging
  • Thalamus / virology*
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Anti-Infective Agents