Overview

• The guidelines define key acute neuroborreliosis symptoms such as intense burning pain at night and potential facial or limb paralysis.
• Diagnosis now centers on cerebrospinal fluid analysis for inflammation markers, with absence of such findings largely excluding the disease.
• Recommended antibiotic treatment spans 14 days for acute cases and extends to 14–21 days for chronic neuroborreliosis, while preventive antibiotic use after a tick bite remains discouraged.
• Authorities urge strict preventive measures including protective clothing, repellents, thorough body checks and rapid tick removal to curb infection risks.
• FSME vaccination coverage stays low at about 19% and a Borrelia vaccine candidate is in its final trial phase but not yet approved