Motor neuron disease features in a patient with neuroborreliosis and a cervical

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Motor neuron disease features in a patient with

neuroborreliosis and a cervical,anterior horn lesion.

 

Acta Clin Belg. 2009 May-Jun;64(3):225-7.

 

Motor neuron disease features in a patient with neuroborreliosis and a

cervical anterior horn lesion.

 

De Cauwer H, Declerck S, De Smet J, Matthyssen P, Pelzers E, Eykens L,

Lagrou K.

 

Department of Neurology, Klina Regional Hospital, Brasschaat, Belgium.

harald.de.cauwer

 

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.

 

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