过去的十年中,上升的莱姆病发病率也伴随着临床表现多样性的增加。作者首次报告1例作为莱姆病并发症的蛛网膜下腔出血。 患者女性,25岁。进行性顽固性枕部疼痛及右上肢游走性关节痛2个月。有广泛的蜱接触史,并可回忆到多次蜱咬,最后一次发生于头痛前6周。发病前2周,曾用强的松治疗荨麻疹和呼吸困难。入院前5天, The rising incidence of Lyme disease has also been accompanied by an increase in the diversity of clinical manifestations over the past decade. The authors first reported 1 case of subarachnoid hemorrhage as a complication of Lyme disease. Patient female, 25 years old. Progressive intractable occipital pain and right upper extremity joint pain 2 months. There is a wide range of tick exposure history and many tick ticks can be recalled, the last of which occurred 6 weeks before headache. Two weeks before onset, prednisone was used to treat urticaria and dyspnea. 5 days before admission,