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Neurological problems form an important part of the clinical spectrum of
Lyme disease. A triad of aseptic meningoencephalitis, cranial neuritis and peripheral neuritis is unique to the
disease. However, the list of neurological manifestations described includes pseudotumour cerebri, hemiparesis, demyelinating disorders, optic atrophy, recurrent laryngeal nerve palsy and purulent meningitis so that
Lyme disease must now be considered in the differential diagnosis of a wide range of neurological disorders.