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Updated: Dec 4, 2025

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Imaging of Lyme Neuroborreliosis: A Pictorial Review
Adam Garkowski1, Urszula Łebkowska1, Bożena Kubas2
1Department of Radiology, Medical University of Białystok, Białystok, Poland.
Abstract:
Lyme neuroborreliosis is a common feature of Borrelia burgdorferi infection (as a neurological manifestation occurring in 10%-15% of all Lyme disease cases) and may involve any part of the nervous system, and its coverings, but usually manifests as lymphocytic meningitis, cranial neuritis, and/or radiculoneuritis. This review describes the imaging findings in Lyme neuroborreliosis: the focal point is on the manifestations of involvement visible on brain and spine imaging.
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