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Acute Lyme neuropathy presenting with polyradicular pain, abdominal protrusion, and cranial neuropathy
Author(s) -
Krishnamurthy Kaarkuzhali B.,
Liu Grant T.,
Logician Eric L.
Publication year - 1993
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.880161118
Subject(s) - medicine , lyme neuroborreliosis , paresis , neuroborreliosis , ceftriaxone , borrelia burgdorferi , surgery , lyme disease , cerebrospinal fluid , aseptic meningitis , palsy , weakness , abdominal pain , radicular pain , anesthesia , meningitis , pathology , antibody , lumbar , alternative medicine , microbiology and biotechnology , immunology , biology , antibiotics , virology
A 53‐year‐old man developed multifocal radicular pain. The diagnosis of Lyme neuroborreliosis was delayed until bifacial paresis and right lower abdominal wall weakness developed, prompting further evaluation. Cerebrospinal fluid (CSF) examination showed aseptic meningitis. Antibodies directed against Borrelia burgdorferi were present in the serum; higher tilers were present in the CSF, indicating local antibody production. Electrophysiologic studies showed both an axonal polyradiculopathy as well as demyelinative facial palsy. Ceftriaxone therapy led to marked improvement in pain and facial palsies. © 1993 John Wiley & Sons, Inc.