Locked-in state in Borrelia burgdorferi meningitis.
The case is reported of a 28-year-old woman with persistent tetraplegia following acute meningitis due to Borrelia burgdorferi infection. The patient developed erythema chronicum migrans before radicular pain occurred in the upper extremities. The poor clinical outcome was suggestive of pontine infarction due to vasculitis of branches of the basilar artery.
Department of Neurology, Kantonsspital, St. Gallen, Switzerland.
A
A
Merlo
B
B
Weder
E
E
Ketz
L
L
Matter
D000328:Adult; D001898:Borrelia / Q000276:immunology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis; D008581:Meningitis / Q000150:complications*; D010243:Paralysis / Q000209:etiology*