Evidence map›Paper›PMID 28473801›Full record

ReviewFrontiers in neurology2017

Cerebrovascular Manifestations of Lyme Neuroborreliosis-A Systematic Review of Published Cases.

Adam Garkowski, Joanna Zajkowska, Agata Zajkowska, Alina Kułakowska, Olga Zajkowska, Bożena Kubas, Dorota Jurgilewicz, Marcin Hładuński, Urszula Łebkowska

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Lyme neuroborreliosis as a cause of acute ischemic stroke: A case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Stroke, infections, and New Mechanisms: a Narrative Review.Current neurology and neuroscience reports · 2025
    Review
  9. Case report of ischemic stroke in a child secondary to neuroborreliosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. The case of a 38-year-old man with transient right arm weakness and dysarthria.Annals of clinical and translational neurology · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Adam GarkowskiDepartment of Radiology, Medical University of Białystok, Białystok, Poland.
Joanna ZajkowskaDepartment of Infectious Diseases and Neuroinfections, Medical University of Białystok, Białystok, Poland.
Agata ZajkowskaDepartment of Neurology, Medical University of Białystok, Białystok, Poland.
Alina KułakowskaDepartment of Neurology, Medical University of Białystok, Białystok, Poland.
Olga ZajkowskaFaculty of Applied Informatics and Mathematics, Warsaw University of Life Sciences SGGW, Warsaw, Poland.
Bożena KubasIndependent Department, Laboratory of Molecular Imaging, Medical University of Białystok, Białystok, Poland.
Dorota JurgilewiczIndependent Department, Laboratory of Molecular Imaging, Medical University of Białystok, Białystok, Poland.
Marcin HładuńskiIndependent Department, Laboratory of Molecular Imaging, Medical University of Białystok, Białystok, Poland.
Urszula ŁebkowskaDepartment of Radiology, Medical University of Białystok, Białystok, Poland.
Medical University of Białystok · PLWarsaw University of Life Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLyme neuroborreliosis (LNB) is a disease caused by spirochete MATERIALS AND

methodsWe conducted a systematic review of literature between May 1987 and December 2016 with patients who presented with cerebrovascular course of LNB.

resultsThis study included 88 patients with a median age of 46 years. The median interval from onset of symptoms suggesting Lyme disease to first symptoms of cerebrovascular manifestations of LNB was 3.5 months. The most common cerebrovascular manifestation of LNB was ischemic stroke (76.1%), followed by TIA (11.4%). The posterior circulation was affected alone in 37.8% of patients, the anterior circulation in 24.4% of patients, and in 37.8% of cases, posterior and anterior circulations were affected simultaneously. The most common affected vessels were middle cerebral artery-in 19 cases, basilar artery-in 17 cases, and anterior cerebral artery-in 16 cases. A good response to antibiotic treatment was achieved in the vast number of patients (75.3%). The overall mortality rate was 4.7%.

conclusionCerebral vasculitis and stroke due to LNB should be considered, especially in patients who live in or have come from areas with high prevalence of tick-borne diseases, as well as in those without cardiovascular risk factors, but with stroke-like symptoms of unknown cause.

Indexed as

Borrelia burgdorfericerebrovascular manifestationsLyme neuroborreliosisstrokevasculitisvasculopathy

Identifiers

PMID28473801
PMCPMC5397664
OpenAlexW2607923248

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.