{"id":"https://openalex.org/W7124154267","doi":"https://doi.org/10.1136/pn-2025-005006","title":"Late Lyme neuroborreliosis presenting with tremor and gait impairment","display_name":"Late Lyme neuroborreliosis presenting with tremor and gait impairment","publication_year":2026,"publication_date":"2026-01-14","ids":{"openalex":"https://openalex.org/W7124154267","doi":"https://doi.org/10.1136/pn-2025-005006","pmid":"https://pubmed.ncbi.nlm.nih.gov/41535125"},"language":"en","primary_location":{"id":"doi:10.1136/pn-2025-005006","doi":"https://doi.org/10.1136/pn-2025-005006","is_oa":false,"landing_page_url":"https://doi.org/10.1136/pn-2025-005006","pdf_url":null,"source":{"id":"https://openalex.org/S80533532","display_name":"Practical Neurology","issn_l":"1474-7758","issn":["1474-7758","1474-7766"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Practical Neurology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5120846907","display_name":"Milo Patrick Delaney","orcid":"https://orcid.org/0000-0002-4576-4085","observed_orcids":["https://orcid.org/0000-0002-4576-4085"]},"institutions":[{"id":"https://openalex.org/I4210111135","display_name":"King's College Hospital NHS Foundation Trust","ror":"https://ror.org/01n0k5m85","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135"]},{"id":"https://openalex.org/I4210153400","display_name":"King's College Hospital","ror":"https://ror.org/044nptt90","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Milo Patrick Delaney","raw_affiliation_strings":["Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK"],"raw_orcid":"https://orcid.org/0000-0002-4576-4085","affiliations":[{"raw_affiliation_string":"Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK","institution_ids":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123006236","display_name":"Andrea P Ruiz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210111135","display_name":"King's College Hospital NHS Foundation Trust","ror":"https://ror.org/01n0k5m85","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135"]},{"id":"https://openalex.org/I4210153400","display_name":"King's College Hospital","ror":"https://ror.org/044nptt90","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Andrea P Ruiz","raw_affiliation_strings":["Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK","institution_ids":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123023348","display_name":"Ahmed Morgan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210111135","display_name":"King's College Hospital NHS Foundation Trust","ror":"https://ror.org/01n0k5m85","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135"]},{"id":"https://openalex.org/I4210153400","display_name":"King's College Hospital","ror":"https://ror.org/044nptt90","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ahmed Morgan","raw_affiliation_strings":["Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK","institution_ids":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039856504","display_name":"Shayan Ashjaei","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210111135","display_name":"King's College Hospital NHS Foundation Trust","ror":"https://ror.org/01n0k5m85","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135"]},{"id":"https://openalex.org/I4210153400","display_name":"King's College Hospital","ror":"https://ror.org/044nptt90","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Shayan Ashjaei","raw_affiliation_strings":["Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK","institution_ids":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103252622","display_name":"Nicholas J Williamson","orcid":"https://orcid.org/0000-0003-3627-003X","observed_orcids":["https://orcid.org/0000-0003-3627-003X"]},"institutions":[{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Nicholas Williamson","raw_affiliation_strings":["King\u2019s College London, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King\u2019s College London, London, UK","institution_ids":["https://openalex.org/I183935753"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123046876","display_name":"Jay Patel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210111135","display_name":"King's College Hospital NHS Foundation Trust","ror":"https://ror.org/01n0k5m85","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135"]},{"id":"https://openalex.org/I4210153400","display_name":"King's College Hospital","ror":"https://ror.org/044nptt90","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jay Patel","raw_affiliation_strings":["Neuroradiology, King\u2019s College Hospital NHS Foundation Trust, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neuroradiology, King\u2019s College Hospital NHS Foundation Trust, London, UK","institution_ids":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103535710","display_name":"Temi Lampejo","orcid":"https://orcid.org/0000-0002-7652-4236","observed_orcids":["https://orcid.org/0000-0002-7652-4236"]},"institutions":[{"id":"https://openalex.org/I4210111135","display_name":"King's College Hospital NHS Foundation Trust","ror":"https://ror.org/01n0k5m85","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135"]},{"id":"https://openalex.org/I4210153400","display_name":"King's College Hospital","ror":"https://ror.org/044nptt90","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Temi Lampejo","raw_affiliation_strings":["Infection Sciences, King\u2019s College Hospital NHS Foundation Trust, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Infection Sciences, King\u2019s College Hospital NHS Foundation Trust, London, UK","institution_ids":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072503013","display_name":"Christina Petridou","orcid":"https://orcid.org/0000-0002-0828-2634","observed_orcids":["https://orcid.org/0000-0002-0828-2634"]},"institutions":[{"id":"https://openalex.org/I4387153084","display_name":"UK Health Security Agency","ror":"https://ror.org/018h10037","country_code":"GB","type":"government","lineage":["https://openalex.org/I1311074006","https://openalex.org/I4387153084"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Christina Petridou","raw_affiliation_strings":["Rare and Imported Pathogens Laboratory, Porton Down, UKHSA Porton, Salisbury, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rare and Imported Pathogens Laboratory, Porton Down, UKHSA Porton, Salisbury, UK","institution_ids":["https://openalex.org/I4387153084"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5056079118","display_name":"Laura Mantoan Ritter","orcid":"https://orcid.org/0000-0003-1406-6118","observed_orcids":["https://orcid.org/0000-0003-1406-6118"]},"institutions":[{"id":"https://openalex.org/I4210111135","display_name":"King's College Hospital NHS Foundation Trust","ror":"https://ror.org/01n0k5m85","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135"]},{"id":"https://openalex.org/I4210153400","display_name":"King's College Hospital","ror":"https://ror.org/044nptt90","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Laura Mantoan Ritter","raw_affiliation_strings":["Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology, King\u2019s College Hospital NHS Foundation Trust, London, UK","institution_ids":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5120846907"],"corresponding_institution_ids":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.03593466,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"pn","last_page":"2025"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10296","display_name":"Vector-borne infectious diseases","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2405","display_name":"Parasitology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10296","display_name":"Vector-borne infectious diseases","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2405","display_name":"Parasitology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11934","display_name":"Syphilis Diagnosis and Treatment","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11735","display_name":"Peripheral Neuropathies and Disorders","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tick-borne-encephalitis","display_name":"tick-borne encephalitis","score":0.7699999809265137},{"id":"https://openalex.org/keywords/tremor","display_name":"tremor","score":0.8479999899864197},{"id":"https://openalex.org/keywords/gait-disturbance","display_name":"gait disturbance","score":0.9980000257492065},{"id":"https://openalex.org/keywords/myeloradiculopathy","display_name":"myeloradiculopathy","score":0.9789999723434448},{"id":"https://openalex.org/keywords/meningeal-disease","display_name":"meningeal disease","score":0.7670000195503235},{"id":"https://openalex.org/keywords/white-matter-disease","display_name":"white matter disease","score":0.9610000252723694},{"id":"https://openalex.org/keywords/cerebrospinal-fluid-analysis","display_name":"cerebrospinal fluid analysis","score":0.7400000095367432},{"id":"https://openalex.org/keywords/tick-exposure","display_name":"tick exposure","score":0.7319999933242798},{"id":"https://openalex.org/keywords/antimicrobial-therapy","display_name":"antimicrobial therapy","score":0.6660000085830688}],"concepts":[{"id":"https://openalex.org/C2909216522","wikidata":"https://www.wikidata.org/wiki/Q819124","display_name":"Lyme Neuroborreliosis","level":4,"score":0.8689000010490417},{"id":"https://openalex.org/C2777147708","wikidata":"https://www.wikidata.org/wiki/Q819124","display_name":"Neuroborreliosis","level":4,"score":0.8682000041007996},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7778000235557556},{"id":"https://openalex.org/C2777553296","wikidata":"https://www.wikidata.org/wiki/Q201989","display_name":"Lyme disease","level":2,"score":0.6068999767303467},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.5803999900817871},{"id":"https://openalex.org/C2780168130","wikidata":"https://www.wikidata.org/wiki/Q2916167","display_name":"Neurological examination","level":2,"score":0.5454000234603882},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.5371999740600586},{"id":"https://openalex.org/C151800584","wikidata":"https://www.wikidata.org/wiki/Q2370000","display_name":"Gait","level":2,"score":0.5040000081062317},{"id":"https://openalex.org/C2992897362","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Clinical history","level":2,"score":0.47099998593330383},{"id":"https://openalex.org/C2781179581","wikidata":"https://www.wikidata.org/wiki/Q2857712","display_name":"Family history","level":2,"score":0.4456999897956848},{"id":"https://openalex.org/C2779651940","wikidata":"https://www.wikidata.org/wiki/Q54196","display_name":"Cerebrospinal fluid","level":2,"score":0.4260999858379364},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3889999985694885},{"id":"https://openalex.org/C2780640218","wikidata":"https://www.wikidata.org/wiki/Q8277","display_name":"Multiple sclerosis","level":2,"score":0.3490999937057495},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.34850001335144043},{"id":"https://openalex.org/C2908551600","wikidata":"https://www.wikidata.org/wiki/Q30633204","display_name":"Gait Disturbance","level":2,"score":0.3465000092983246},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.30239999294281006},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.29409998655319214},{"id":"https://openalex.org/C2780505380","wikidata":"https://www.wikidata.org/wiki/Q7142931","display_name":"Past medical history","level":2,"score":0.28870001435279846},{"id":"https://openalex.org/C2781192897","wikidata":"https://www.wikidata.org/wiki/Q822050","display_name":"White matter","level":3,"score":0.2824000120162964},{"id":"https://openalex.org/C173906292","wikidata":"https://www.wikidata.org/wiki/Q1493441","display_name":"Gait analysis","level":3,"score":0.2703999876976013},{"id":"https://openalex.org/C2908670167","wikidata":"https://www.wikidata.org/wiki/Q827017","display_name":"Gait Ataxia","level":3,"score":0.2637999951839447},{"id":"https://openalex.org/C2776307562","wikidata":"https://www.wikidata.org/wiki/Q15968355","display_name":"LYME","level":4,"score":0.2615000009536743}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1136/pn-2025-005006","doi":"https://doi.org/10.1136/pn-2025-005006","is_oa":false,"landing_page_url":"https://doi.org/10.1136/pn-2025-005006","pdf_url":null,"source":{"id":"https://openalex.org/S80533532","display_name":"Practical Neurology","issn_l":"1474-7758","issn":["1474-7758","1474-7766"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Practical Neurology","raw_type":"journal-article"},{"id":"pmid:41535125","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41535125","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Practical neurology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality","score":0.5673658847808838}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W182387023","https://openalex.org/W1975694751","https://openalex.org/W1988690896","https://openalex.org/W1990820092","https://openalex.org/W2023503766","https://openalex.org/W2027160657","https://openalex.org/W2106099283","https://openalex.org/W2117836991","https://openalex.org/W2750439155","https://openalex.org/W2895314310","https://openalex.org/W3004685635","https://openalex.org/W4401406645","https://openalex.org/W4406752522","https://openalex.org/W4411696263","https://openalex.org/W4412704566"],"related_works":[],"abstract_inverted_index":{"A":[0],"60-year-old":[1],"woman":[2],"presented":[3],"with":[4,17,48,79],"a":[5,18,61,93,98],"38-month":[6],"history":[7,36,91],"of":[8,63,89,106],"progressive":[9],"tremor":[10],"and":[11,26,30,59,72,102],"gait":[12],"impairment.":[13],"Examination":[14],"was":[15,24,54,67,70],"consistent":[16],"myeloradiculopathy,":[19],"cerebrospinal":[20],"fluid":[21],"(CSF)":[22],"analysis":[23],"inflammatory":[25],"imaging":[27],"showed":[28],"meningeal":[29],"white":[31],"matter":[32],"disease.":[33],"Revisiting":[34],"the":[35,43,87,103],"identified":[37],"long":[38],"periods":[39],"spent":[40],"gardening":[41],"in":[42,57],"months":[44],"before":[45],"symptom":[46],"onset":[47],"significant":[49],"tick":[50],"exposure.":[51],"Lyme":[52,65],"testing":[53],"strikingly":[55],"positive":[56],"serum":[58],"CSF:":[60],"diagnosis":[62],"late":[64],"neuroborreliosis":[66],"confirmed.":[68],"There":[69],"clinical":[71],"radiological":[73],"response":[74],"to":[75,96,110],"appropriate":[76],"antimicrobial":[77],"treatment":[78],"ongoing":[80],"improvement":[81],"at":[82],"follow-up.":[83],"This":[84],"case":[85],"highlights":[86],"importance":[88],"thorough":[90],"taking,":[92],"stepwise":[94],"approach":[95],"investigating":[97],"complex":[99],"neurological":[100],"syndrome":[101],"invaluable":[104],"input":[105],"multiple":[107],"specialties":[108],"required":[109],"manage":[111],"such":[112],"cases.":[113]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-01-15T00:00:00"}
