Extensive Myelitis as a Manifestation of Neuroborreliosis

• Main Author: Brás, Ana
• Publication Date: 2016
• Other Authors: Marques, Nuno, Santiago, Beatriz, Matos, Anabela, Moreira, Fradique
• Format: Article
• Language: por
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7400
• topic: Lyme Neuroborreliosis; Myelitis; Transverse.; Mielite Transversa; Neuroborreliose de Lyme.

Neurological manifestations of Lyme disease are reported in 3% - 12% of patients, with the most common form of presentation being meningoradiculitis. Other symptoms involving the central nervous system, such as myelitis or encephalitis, are rare (< 5 %). We report a case of a 66-year-old male, with a subacute extensive transverse myelitis, secondary to Borrelia burgdorferi infection. The patient underwent antibiotic therapy filed for neuroborreliosis with a good clinical outcome. The rareness in clinical symptoms and imaging presentation, based on a treatable infectious disease, highlights the importance of the inclusion of neuroborreliosis in the differential diagnosis of longitudinally extensive transverse myelitis.