Multiple mononeuropathy and inflammatory syndrome manifested in Lyme disease
Jalladeau, E.; Pradat, P.F.; Maisonobe, T.; Leger, J.M.
Revue Neurologique (Paris) 157(10): 1290-1292
2001
ISSN/ISBN: 0035-3787 PMID: 11885524 Document Number: 527602
Meningo-radiculitis is the most common peripheral nerve system involvement of Lyme disease. We report the observation of a 73 year-old woman presenting a subacute multiple mononeuropathy and a severe inflammatory syndrome. Diagnosis of Lyme disease was confirmed by a lymphocytic meningitis with positive serologic results in the cerebrospinal fluid. Nerve biopsy showed inflammatory cells spreading along the endoneurium. This case report emphasizes that Lyme disease may present as a multiple mononeuropathy mimicking a vasculitic neuropathy.