Lymphocytic meningoradiculitis (Bannwarth's syndrome) . Neurologic involvement of Lyme disease
Maraví Petri, E.; Oteo Revuelta, J.A.; Pérez Gómez, J.M.; De Miguel Medina, C.; López Unzu, A.
Revista de Medicina de la Universidad de Navarra 33(1): 19-22
1989
ISSN/ISBN: 0556-6177 PMID: 2490177 Document Number: 331178
We describe a patient with Lyme's disease who showed neurologic symptoms of meningoradiculitis (Bannwarth's syndrome) and had no previous history of exposure to tick bite or chronic erythema migrans. He had longterm fever and bilateral facial paralysis. Antibody titres for Borrelia Burgdorferi in serum and cerebrospinal fluid (CSF) were increased. The CSF changes showed an intrathecal production of immunoglobulins (presence of plasmatic cells and immunoblasts; IgG-CSF: IgG-serum ratio much higher than albumin-CSF: Albumin serum ratio, according to Reiber's diagram; presence of oligoclonal bands). Therapeutic response to high doses of penicillin was resolutive. The second day of treatment the patient developed uveitis, that was treated with corticoids.