Imaging in Lyme neuroborreliosis

Autor: Unn Ljøstad, Anne Marit Solheim, Silje Andreassen, Mona K. Beyer, Randi Eikeland, Åslaug R. Lorentzen, Else Quist-Paulsen, Åse Mygland, Elisabeth S. Lindland, Ahmed Elsais, Gro Owren Nygaard, Hanne F. Harbo
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Insight into Imaging
Insights into Imaging
Insights into Imaging, Vol 9, Iss 5, Pp 833-844 (2018)
ISSN: 1869-4101
Popis: Lyme neuroborreliosis (LNB) is a tick-borne spirochetal infection with a broad spectrum of imaging pathology. For individuals who live in or have travelled to areas where ticks reside, LNB should be considered among differential diagnoses when clinical manifestations from the nervous system occur. Radiculitis, meningitis and facial palsy are commonly encountered, while peripheral neuropathy, myelitis, meningoencephalitis and cerebral vasculitis are rarer manifestations of LNB. Cerebrospinal fluid (CSF) analysis and serology are key investigations in patient workup. The primary role of imaging is to rule out other reasons for the neurological symptoms. It is therefore important to know the diversity of possible imaging findings from the infection itself. There may be no imaging abnormality, or findings suggestive of neuritis, meningitis, myelitis, encephalitis or vasculitis. White matter lesions are not a prominent feature of LNB. Insight into LNB clinical presentation, laboratory test methods and spectrum of imaging pathology will aid in the multidisciplinary interaction that often is imperative to achieve an efficient patient workup and arrive at a correct diagnosis.This article can educate those engaged in imaging of the nervous system and serve as a comprehensive tool in clinical cases. Research fellowship for Elisabeth S. Lindland, Anne Marit Solheim and Silje Andreassen is funded by the Norwegian Multiregional Health Authorities through the BorrSci project (Lyme borreliosis; a scientific approach to reduce diagnostic and therapeutic uncertainties, project 2015113). Postdoctoral fellowship for Åslaug R. Lorentzen is funded by the South-Eastern Norway Regional Health Authority (project 2013089).
Databáze: OpenAIRE
Externí odkaz: