EMERGING ROLE OF INFECTION IN ALZHEIMER'S DISEASE AND STROKE

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Judith Miklossy  http://www.miklossy.ch/401/index.html

Treponema pallidum and Borrelia burgdorferi spirochetes, in late syphilis and late Lyme disease can cause cerebral infarct and cognitive decline (dementia) in parenchymatous neurosyphilis and Lyme neuroborreliosis.

The cognitive decline (dementia) is caused by the direct invasion of brain parenchyma by spirochetes (direct parenchymal involvement) years or decades follwoing the primary infection.

Cerebral infarcts in the meningovascular form of neurospirochetoses (Meningovascular form of neurosyphilis and Lyme neuroborreliosis) is not caused by spirochetal invasion of brain tissue. The parenchymal involvement is secondary to the occlusion of the affected meningeal arteries. It may lead to"vascular" dementia.

Consequently, to exclude infection, e.g. Borrelia infection in patients with stroke, particularly in endemic areas of Lyme disease is primordial.

Here we describe the line of research we have followed during the last 15 years with respect to the involvement of spirochetes in Alzheimer's disease and in cerebral infarcts. This line of research represents series of experiments, listed below, which are linked to each other. The goal was to answer the question, whether several types of spirochetes, including Borrelia burgdorferi, may be involved in Alzheimer disease and in stroke

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