Diraison P, Lheveder G, Lanusse S, Rouhart F, Mocquard Y, Goas J Y
Service de Neurologie, CHU La Cavale Blanche, Brest.
Rev Neurol (Paris). 1997 Jul;153(6-7):433-5.
A thirty-three-year-old patient developed polyradiculoneuritis with several post-therapeutic relapses despite excellent response to treatment by intravenous polyvalent gammaglobulin. After the second relapse, positive titres for Borrelia burgdorferi were found in serum and C.S.F. We gave her intravenous antibiotic and clinical signs and electrophysiological data improved. Our report and the literature can distinguish two clinical and electrophysiological presentations of neurological peripheral involvement in Lyme disease: meningoradiculoneuritis with axonal involvement and polyradiculoneuritis with demyelinization.
一名33岁患者发生了多神经根神经炎，尽管静脉注射多价丙种球蛋白治疗反应良好，但仍出现了几次治疗后复发。第二次复发后，在血清和脑脊液中发现了伯氏疏螺旋体阳性滴度。我们给她静脉注射了抗生素，临床症状和电生理数据均有改善。我们的报告及文献可以区分莱姆病神经外周受累的两种临床和电生理表现：伴有轴突受累的脑脊神经根神经炎和伴有脱髓鞘的多神经根神经炎。
