Open AccessPoliomyelitis-like syndrome with matching magnetic resonance features in a case of Lyme neuroborreliosis
Author(s) -
Vera K. Charles,
Thierry Duprez,
Benoît Kabamba,
Adrian Ivanoiu,
Christian Sindic
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.07.2008.0527
Subject(s) - medicine , neuroborreliosis , lyme neuroborreliosis , lyme disease , magnetic resonance imaging , myelitis , borrelia , borrelia burgdorferi , transverse myelitis , lyme , spinal cord , pathology , virology , immunology , radiology , psychiatry , antibody
Lyme disease is a multisystemic disorder caused by an epizootic organism of the spirochete group, called Borrelia burgdorferi (Bb), which is transmitted to humans by ticks of the genus Ixodes. Lyme neuroborreliosis may occur during the early dissemination phase, most often as a painful meningo-radiculitis and very rarely as a radiculo-myelitis, whereas encephalomyelitis is observed in the late phase. We report the case of a patient with an early subacute poliomyelitis-like syndrome closely matching the selective involvement of the anterior horns and roots of the cervical spinal cord seen on magnetic resonance (MR) imaging. This condition improved with appropriate antibiotics.