Neurologic abnormalities of late Lyme disease usually develop a year or more after illness onset:
The most common late CNS abnormalities are vague neuropsychiatric deficits such as somnolence, emotional lability, depression, impaired memory, and behavioral symptoms. The best-defined late CNS abnormality, however, is progressive Borrelia encephalomyelitis.27
Seizures can occur in 7% of these cases.25 Focal motor, partial complex, and generalized convulsions can all occur.
Reviewed and revised March 2004 by Steven C. Schachter, MD, epilepsy.com Editorial Board.
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