Kashyap Manshi, Kashyap Priyanka Vikas
Department of Neurology, AIIMS, Bhopal, Madhya Pradesh, India.
J Neurosci Rural Pract. 2023 Jan-Mar;14(1):132-136. doi: 10.25259/JNRP-2022-7-4. Epub 2022 Dec 29.
Lyme disease is a tick-borne infectious disease caused by which causes a multi-organ involvement. It is endemic in North America and Europe, but not very commonly seen in India. Neurological manifestations (Lyme's Neuroborreliosis,) can occur in both the early and late disseminated stages, and the classic triad consists of aseptic meningitis, painful radiculoneuritis, and cranial neuropathy. If untreated, it can be fatal and may lead to significant morbidity. We report a case with neuroborreliosis who developed acute onset and rapidly progressive bilateral vision loss, and we also report characteristic features on neuroimaging, including a characteristic "rounded M sign." This unusual presentation, along with the characteristic imaging features, should be borne in mind to avoid misdiagnosis.
莱姆病是一种由蜱传播的传染病，可导致多器官受累。它在北美和欧洲流行，但在印度不太常见。神经表现（莱姆神经疏螺旋体病）可发生在早期和晚期播散阶段，典型三联征包括无菌性脑膜炎、疼痛性神经根神经炎和颅神经病变。如果不治疗，可能会致命，并可能导致严重的发病率。我们报告一例神经疏螺旋体病患者，其急性起病并迅速进展为双侧视力丧失，我们还报告了神经影像学的特征性表现，包括特征性的“圆形M征”。应牢记这种不寻常的表现以及特征性的影像学特征，以避免误诊。
