Surgical neurology international · 2026
Acute cervical myelomeningitis secondary to Lyme neuroborreliosis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Laaguili Jawad, Tlemcani Zakaria Chandid, Mandour Cherkaoui, El Asri Abbad Cherif, Gazzaz Miloud
Аннотация
BACKGROUND: Lyme disease, caused by the bacterium Borrelia burgdorferi, can cause multi-systemic signs and symptoms, including peripheral and central nervous system disease. Lyme neuroborreliosis rarely presents with spinal cord involvement.
CASE DESCRIPTION: We describe a case of a 62-year-old man presenting with fever, meningeal syndrome, rapidly progressive flaccid tetraplegia with preserved sensory function, and urinary and fecal incontinence. Cervical magnetic resonance imaging (MRI) demonstrated extensive intramedullary T2 hyperintensity associated with diffuse circumferential pachymeningeal enhancement on contrast-enhanced T1-weighted images. Serum and cerebrospinal fluid analyses revealed positive anti-B. burgdorferi immunoglobulin G (IgG) and IgM antibodies, confirming a diagnosis.
CONCLUSION: Lyme neuroborreliosis should be considered in patients presenting with acute myelomeningitis. MRI plays a crucial role in diagnosis, and early recognition is essential to initiate appropriate antibiotic therapy.
CASE DESCRIPTION: We describe a case of a 62-year-old man presenting with fever, meningeal syndrome, rapidly progressive flaccid tetraplegia with preserved sensory function, and urinary and fecal incontinence. Cervical magnetic resonance imaging (MRI) demonstrated extensive intramedullary T2 hyperintensity associated with diffuse circumferential pachymeningeal enhancement on contrast-enhanced T1-weighted images. Serum and cerebrospinal fluid analyses revealed positive anti-B. burgdorferi immunoglobulin G (IgG) and IgM antibodies, confirming a diagnosis.
CONCLUSION: Lyme neuroborreliosis should be considered in patients presenting with acute myelomeningitis. MRI plays a crucial role in diagnosis, and early recognition is essential to initiate appropriate antibiotic therapy.