Acute Lyme neuropathy presenting with polyradicular pain, abdominal protrusion, and cranial neuropathy.

Abstract:

: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 titers 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.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Krishnamurthy KB,Liu GT,Logigian EL

doi

10.1002/mus.880161118

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

1261-4

issue

11

eissn

0148-639X

issn

1097-4598

journal_volume

16

pub_type

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