Seizures associated with Lyme disease are treated via routine antiepileptic management principles.
Antibiotic treatment regimens for Lyme disease vary according to stage and differ for adults and children:
Lyme disease stage | Treatment options |
Erythema migrans and systemic symptoms | |
Adults |
|
Children |
|
Early neurologic involvement | |
Facial palsy alone | Oral antibiotics, same treatment as above |
All others | |
Adults |
|
Children |
|
Late neurologic involvement | |
Adults |
|
Children |
|
Antibiotic treatment regimens Table adapted from L Reik. Lyme Disease. In WM Scheld, RJ Whitley, DT Durack (eds), Infections of the Central Nervous System. Philadelphia: Lippincott–Raven, 1997;685–718; DW Rahn, MW Felz. Lyme disease update. Postgraduate Medicine 1998;103:51–70; JR Miller. Spirochete Infections: Lyme Disease. In LP Rowland (ed), Merritt’s Textbook of Neurology. Baltimore: Williams & Wilkins, 1995;209–211.
Adapted from: Goldstein MA and Harden CL. Infectious states. In: Ettinger AB and Devinsky O, eds. Managing epilepsy and co-existing disorders. Boston: Butterworth-Heinemann; 2002;83-133.
With permission from Elsevier (www.elsevier.com).