Kohler J, Schneider H, Vogt A
Neurologische Universitätsklinik und Poliklinik, Freiburg.
Infection. 1989 Jul-Aug;17(4):216-7. doi: 10.1007/BF01639522.
We report two cases of Lyme borreliosis (LB) with erythema migrans (EM) and simultaneous meningopolyneuritis with radicular pain and lymphocytic pleocytosis in the cerebrospinal fluid (CSF). EM and pain disappeared completely under high-dose penicillin G therapy within few a days. Pathological findings in CSF improved. Nevertheless, during and after therapy, neurological signs of LB developed: cranial nerve palsies as well as paresis of extremity muscles with radicular distribution.
我们报告了2例莱姆病（LB），伴有游走性红斑（EM），同时出现脑膜多发性神经炎，伴有神经根性疼痛和脑脊液（CSF）淋巴细胞增多。在高剂量青霉素G治疗下，EM和疼痛在几天内完全消失。CSF的病理结果有所改善。然而，在治疗期间及之后，LB的神经体征出现了：颅神经麻痹以及神经根分布的肢体肌肉麻痹。
