Hieber Maren, Lambeck Johann, Rauer Sebastian, Bardutzky Juergen
Clinic of Neurology and Neurophysiology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Case Rep Neurol. 2020 Sep 17;12(3):276-281. doi: 10.1159/000508404. eCollection 2020 Sep-Dec.
Neuroborreliosis is the neurological manifestation of Lyme disease, a tick-borne infectious multi-system disease caused by sensu lato. It appears in 3 to 15% of all cases of acute Lyme disease, and includes meningitis, cranial neuritis, and painful radiculoneuritis as the most common manifestations. We report a case of acute neuroborreliosis that manifested as extended isolated cervical myelitis. Not only the manifestation as isolated myelitis in the early stages of borreliosis represents a rarity, but also the strong contrast between mild clinical symptoms and pronounced imaging findings in this case is remarkable.
神经型莱姆病是莱姆病的神经表现，莱姆病是一种由狭义伯氏疏螺旋体引起的蜱传感染性多系统疾病。它出现在所有急性莱姆病病例的3%至15%中，最常见的表现包括脑膜炎、颅神经炎和疼痛性神经根神经炎。我们报告一例急性神经型莱姆病，表现为广泛性孤立性颈段脊髓炎。不仅莱姆病早期表现为孤立性脊髓炎很罕见，而且该病例中轻微临床症状与明显影像学表现之间的强烈反差也很显著。
