Related Experiment Videos
[Multiple mononeuropathy and inflammatory syndrome manifested in Lyme disease]
E Jalladeau1, P F Pradat, T Maisonobe
1Fédération de Neurologie Mazarin, Groupe Hospitalier Pitié-Salpêtrière, Paris.
Revue Neurologique
|March 12, 2002
Summary
Lyme disease can affect the peripheral nervous system, causing meningo-radiculitis. This case highlights Lyme disease presenting as multiple mononeuropathy, mimicking vasculitis.
Area of Science:
- Neurology
- Infectious Diseases
- Peripheral Nervous System Disorders
Background:
- Meningo-radiculitis is the primary peripheral nerve system manifestation of Lyme disease.
- Early diagnosis and treatment are crucial for managing Lyme disease complications.
Observation:
- A 73-year-old woman presented with subacute multiple mononeuropathy and severe inflammatory syndrome.
- Diagnostic workup revealed lymphocytic meningitis with positive cerebrospinal fluid serology for Lyme disease.
Findings:
- Nerve biopsy confirmed inflammatory cell infiltration along the endoneurium.
- The patient's presentation mimicked vasculitic neuropathy.
Implications:
- This case underscores the importance of considering Lyme disease in the differential diagnosis of multiple mononeuropathy.
- Recognizing atypical presentations of Lyme disease is vital for accurate diagnosis and effective patient management.