Table 3 Main clinical, laboratory and instrumental findings regarding the three cases here described
Symptoms | Neurological exam | CSF finding | MRI findings | EEG findings | Management | Outcome | |
|---|---|---|---|---|---|---|---|
Patient#1 68 yo Male Caucasian | Fever, confusion, skin rash | Diplopia, bilateral positive Babinski sign, resistance to head passive mobilization | Mononuclear pleocytosis, hyper-protidorrachia, hypo-glycorrachia | No abnormalities reported | Bilateral slow-wave activity on central-anterior leads | Supportive care; suspension of empiric ABT on diagnosis confirmation | Mild cognitive impairment followed by complete recovery; no relapses reported |
Patient#2 66 yo Male Caucasian | Headache, cervical pain, nausea, low-grade fever | Slight right upper limb weakness | Mononuclear pleocytosis, slightly increased proteins, hypo-glycorrachia | No abnormalities reported | Minimal bilateral slow-wave activity on temporal leads | Supportive care; suspension of empiric ABT on diagnosis confirmation | Mild cognitive impairment followed by complete recovery; no relapses reported |
Patient#3 85 yo Female Caucasian | Fever, dysuria, skin rash, disorientation | Nuchal rigidity, diffuse tremors, slurred speech, impaired task execution, focal vision defect | Increased RBC count, polymorphonuclear pleocytosis, hyper-protidorrachia, hypo-glycorrachia | Lobar white matter hyperintensities on T2-weighted sequences | bilateral slow-wave alterations were recorded on central-anterior leads | Supportive care; suspension of empiric ABT on diagnosis confirmation; antiepileptic therapy | Significant motor/cognitive impairment followed by gradual recovery; no relapses reported |