Zifko U, Wondrusch E, Machacek E, Grisold W
Neurologischen Abteilung, Kaiser-Franz-Josef-Spitals, Wien.
Wien Med Wochenschr. 1995;145(7-8):188-90.
A patient with acute onset of radicular pain developed an asymmetric neuropathy within a few weeks. Neurophysiology and nerve biopsy findings revealed a demyelinating neuropathy. Cerebrospinal fluid showed mild pleocytosis, increased protein levels and elevated antibody titers against Borrelia burgdorferi suggesting Lyme neuroborreliosis. Although peripheral nervous system complications of Lyme borreliosis are common, the association with chronic demyelinating neuropathy has not been described before.
一名急性神经根性疼痛患者在几周内出现了不对称性神经病变。神经生理学和神经活检结果显示为脱髓鞘性神经病变。脑脊液显示轻度淋巴细胞增多、蛋白水平升高以及抗伯氏疏螺旋体抗体滴度升高,提示莱姆病神经疏螺旋体病。虽然莱姆病神经疏螺旋体病的周围神经系统并发症很常见,但此前尚未描述过其与慢性脱髓鞘性神经病变的关联。