Neuroborreliosis: Unusual clinical presentation and imaging features.

Autor: Kashyap M; Department of Neurology, AIIMS, Bhopal, Madhya Pradesh, India., Kashyap PV; Department of Neurology, AIIMS, Bhopal, Madhya Pradesh, India.
Jazyk: angličtina
Zdroj: Journal of neurosciences in rural practice [J Neurosci Rural Pract] 2023 Jan-Mar; Vol. 14 (1), pp. 132-136. Date of Electronic Publication: 2022 Dec 29.
DOI: 10.25259/JNRP-2022-7-4
Abstrakt: Lyme disease is a tick-borne infectious disease caused by Borrelia burgdorferi 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.
Competing Interests: There are no conflicts of interest.
(© 2023 Published by Scientific Scholar on behalf of Journal of Neurosciences in Rural Practice.)
Databáze: MEDLINE