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[Ataxic sensory neuropathy and Lyme disease]
E Thouvenot1, K Hadjout, S Grosleron
1Service de Neurologie A, Infectieuses et Tropicales, Centre Gui de Chauliac, Montpellier.
Revue Neurologique
|September 30, 2004
Summary
Lyme disease can cause a rare subacute sensory neuropathy, presenting as ataxia. Prompt antibiotic treatment led to full recovery in a 77-year-old patient, highlighting the importance of considering Lyme disease in neurological cases.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Peripheral neuropathies in Lyme disease present a wide clinical spectrum.
- This case highlights an unusual presentation of Lyme disease.
Observation:
- A 77-year-old patient developed subacute ataxic sensory neuropathy two weeks post-skin lesion.
- Electromyography (EMG) indicated a predominantly axonal neuropathy.
- Diagnosis confirmed by rising serum antibodies, lymphocytic meningitis, and intrathecal antibody synthesis.
Findings:
- The patient experienced a full recovery following antibiotic therapy.
- Lyme disease was identified as the cause of the sensory neuropathy.
Implications:
- Lyme disease should be considered in the differential diagnosis of subacute sensory neuropathies.
- Early diagnosis and treatment are crucial for favorable outcomes in Lyme-induced neuropathies.