Article Text

Rare disease
Poliomyelitis-like syndrome with matching magnetic resonance features in a case of Lyme neuroborreliosis
  1. V Charles1,
  2. T P Duprez2,
  3. B Kabamba3,
  4. A Ivanoiu1,
  5. C J M Sindic4
  1. 1
    Service de Neurologie, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
  2. 2
    Département de Radiologie et d’ Imagerie médicale, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
  3. 3
    Département de Microbiologie, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
  4. 4
    Service de Neurologie, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium, and Laboratoire de Neurochimie, Brussels, Belgium
  1. sindic{at}nchm.ucl.ac.be

Summary

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.

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Footnotes

  • Competing interests: none.

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