Dabiri Iman, Calvo Nicholas, Nauman Feryal, Pahlavanzadeh Mahsa, Burakgazi Ahmet Z
Department of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
Neurol Int. 2019 Dec 2;11(4):8318. doi: 10.4081/ni.2019.8318. eCollection 2019 Nov 29.
Lyme disease related central and peripheral nervous system manifestations can occur in isolation or together. Radiculitis or inflammation of the nerve root can be seen 3-5% of the time in acute neuroborreliosis affecting the PNS with a typical presentation and meningitis affecting the CNS is usually seen 1% of the time. The appropriate diagnosis and management of neuroborelliosis can be challenging and require meticulous medical approaches. Herein we present a unique case of Lyme disease with neurologic manifestations including both radiculitis and meningitis due to its atypical and challenging clinical presentation and management with updated literature review.
莱姆病相关的中枢和周围神经系统表现可单独出现或同时出现。在影响周围神经系统的急性神经型伯氏疏螺旋体病中，神经根炎或神经根炎症在3% - 5%的病例中可见，其具有典型表现；而影响中枢神经系统的脑膜炎通常在1%的病例中出现。神经型伯氏疏螺旋体病的正确诊断和管理具有挑战性，需要细致的医疗方法。在此，我们呈现一例独特的莱姆病病例，其具有神经根炎和脑膜炎等神经系统表现，因其非典型且具有挑战性的临床表现及管理，并进行了最新文献综述。
