MOTOR NEURON DISEASE FEATURES IN A PATIENT WITH NEUROBORRELIOSIS AND A CERVICAL ANTERIOR HORN LESION

被引:7
作者
De Cauwer, H. [1 ]
Declerck, S. [2 ]
De Smet, J. [2 ]
Matthyssen, Ph. [2 ]
Pelzers, E. [3 ]
Eykens, L. [4 ]
Lagrou, K. [5 ]
机构
[1] Klina Reg Hosp, Dept Neurol, B-2930 Brasschaat, Belgium
[2] Klina Reg Hosp, Dept Internal Med Geriatr, B-2930 Brasschaat, Belgium
[3] Klina Reg Hosp, Dept Radiol, B-2930 Brasschaat, Belgium
[4] Klina Reg Hosp, Microbiol Lab, B-2930 Brasschaat, Belgium
[5] Univ Hosp Leuven, Dept Med Diagnost Sci, Louvain, Belgium
关键词
neuroborreliosis; amyotrophic lateral sclerosis; fasciculations; bulbar dysarthria; cervical myelitis; LYME-BORRELIOSIS;
D O I
10.1179/acb.2009.039
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A variety of neurological syndromes has been described in neuroborreliosis: cranial nerve palsies, radiculopathy, axonal neuropathy, stroke, parkinsonism, transverse myelitis, supranuclear palsy, Guillain-Barre syndrome, ... We report a case of neuroborreliosis with cervical myelitis presenting clinically as a lower motor neuron syndrome of the upper and lower limbs with proximal and distal pareses and atrophies as well as bulbar dysarthria and dysphagia. During the course of the disease the patient developed the clinical picture of a meningoencephalitis. After initiating ceftriaxone treatment the patient showed a complete recovery. In endemic regions for Lyme disease, in all neurological syndromes neuroborreliosis has to be excluded.
引用
收藏
页码:225 / 227
页数:3
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