Lefevre J P, Pouget-Abadie J F, Bontoux D, Sudre Y, Gil R
Sem Hop. 1976 Mar 16;52(11):687-94.
The authors report a series of 9 cases of meningoradiculitis after tick bites and compare them with 56 other cases in the literature. Clinically, the bite is followed by a free interval, then more or less extensive local erythema, pain then paralysis is undoubtedly the most typical presentation. Uni- or bilateral paralysis of the 7th cranial nerve was found in more than 50% of cases. Erythema may exceptionally be absent. There may be forms with pain alone. Finally, there may sometimes be pyramidal signs or signs of brain irritation. As concerns the course, one should note the absence of respiratory complications, and although there are usually no or minimal sequelae, one should note the slowness of the recovery in certain paralytic cases. In the laboratory, pleocytosis is constantly found in the C.S.F. As concerns physiopathology, there are 3 theories, virus, allergic and toxic.
作者报告了一系列9例蜱叮咬后发生脑脊神经根炎的病例，并将其与文献中其他56例病例进行了比较。临床上，叮咬后有一段无症状期，随后或多或少出现广泛的局部红斑，接着疼痛，然后麻痹无疑是最典型的表现。超过50%的病例出现单侧或双侧第7颅神经麻痹。红斑可能罕见缺如。也可能仅有疼痛的表现形式。最后，有时可能出现锥体束征或脑刺激征。关于病程，应注意无呼吸并发症，尽管通常无后遗症或后遗症轻微，但应注意某些麻痹病例恢复缓慢。在实验室检查中，脑脊液中经常发现细胞增多。关于病理生理学，有3种理论，即病毒、过敏和中毒理论。
