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From the Department of Neurology (Drs. Kohler, Kern, Kasper, and Thoden), University of Freiburg, Freiburg, and the Department of Neurology (Dr. Rhese-Küpper), University of Köln, Köln, Federal Republic of Germany.
We describe four patients with marked chronic meningoencephalomyelitis caused by tick-transmitted Borrelia burgdorferi infection. Imaging techniques showed either MS-like lesions or evidence of vascular involvement, as in other spirochetal infections, especially in meningovascular syphilis.
Address correspondence and reprint requests to Dr. Kohler, Department of Neurology, University of Freiburg, Hansastrasse 9, 7800 Freiburg, Federal Republic of Germany.
Received December 9, 1986. Accepted for publication in final form September 1, 1987.
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