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Cranial nerve involvement with Lyme borreliosis demonstrated by magnetic resonance imaging
J A Nelson1, M D Wolf, W T Yuh
1Section of Infectious Disease, Rush Medical College, Chicago, IL 60612.
Neurology
|March 1, 1992
Abstract:
We report a patient with cranial nerve and meningeal symptoms secondary to Lyme borreliosis. MRI using gadolinium contrast material demonstrated this inflammatory process. The patient did not have the parenchymal lesions described in previous reports of patients with CNS Lyme borreliosis.
Insights
This study details a patient experiencing cranial nerve and meningeal symptoms due to Lyme borreliosis. Magnetic Resonance Imaging (MRI) revealed inflammation without the parenchymal lesions previously seen in Central Nervous System (CNS) Lyme disease.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Lyme borreliosis is a tick-borne illness that can affect the Central Nervous System (CNS).
- Previous reports of CNS Lyme borreliosis often describe parenchymal lesions on neuroimaging.
- Cranial nerve and meningeal involvement are recognized manifestations of neuroborreliosis.
Observation:
- A patient presented with symptoms affecting cranial nerves and meninges.
- Magnetic Resonance Imaging (MRI) with gadolinium contrast was utilized for diagnostic evaluation.
- Neuroimaging findings indicated an inflammatory process.
Findings:
- The patient's symptoms were attributed to Lyme borreliosis.
- MRI confirmed meningeal and cranial nerve inflammation.
- Crucially, no parenchymal lesions were identified in this patient, differentiating it from prior CNS Lyme borreliosis cases.
Implications:
- This case highlights the diverse presentations of neuroborreliosis.
- It suggests that meningeal and cranial nerve involvement can occur in Lyme borreliosis without parenchymal brain lesions.
- Further research may elucidate the specific mechanisms and prognostic implications of this presentation.