De Cauwer H, Declerck S, De Smet J, Matthyssen Ph, Pelzers E, Eykens L, Lagrou K
Department of Neurology, Klina Regional Hospital, Brasschaat, Belgium.
Acta Clin Belg. 2009 May-Jun;64(3):225-7. doi: 10.1179/acb.2009.039.
A variety of neurological syndromes has been described in neuroborreliosis: cranial nerve palsies, radiculopathy, axonal neuropathy, stroke, parkinsonism, transverse myelitis, supranuclear palsy, Guillain-Barré syndrome, ... We report a case of neuroborreliosis with cervical myelitis presenting clinically as a lower motor neuron syndrome of the upper and lower limbs with proximal and distal pareses and atrophies as well as bulbar dysarthria and dysphagia. During the course of the disease the patient developed the clinical picture of a meningoencephalitis. After initiating ceftriaxone treatment the patient showed a complete recovery. In endemic regions for Lyme disease, in all neurological syndromes neuroborreliosis has to be excluded.
颅神经麻痹、神经根病、轴索性神经病、中风、帕金森综合征、横贯性脊髓炎、核上性麻痹、格林-巴利综合征等。我们报告一例患有颈髓炎的神经莱姆病病例，临床上表现为上下肢下运动神经元综合征，伴有近端和远端肌无力及萎缩，以及延髓构音障碍和吞咽困难。在疾病过程中，患者出现了脑膜脑炎的临床表现。开始使用头孢曲松治疗后，患者完全康复。在莱姆病流行地区，对于所有神经综合征都必须排除神经莱姆病。
