[Facial palsy, enhancement of cranial nerves and Lyme disease].
Lyme disease involves multiple organ systems including in 10-15% of cases, the nervous system. Cranial neuropathies are observed in the second stage of the disease. The facial nerve is the most frequently affected nerve (20-30%). Facial nerve enhancement may be associated with cochleovestibular nerve abnormalities and can mimick an intracanalicular pseudomass. We present post-gadolinium enhancement of multiple cranial nerves associated to an intracanicular enhancement illustrated in a patient referred for a facial nerve palsy and presenting a Lyme disease. We discuss the differential diagnosis.
Marsot-Dupuch
K
K
Service de Radiologie, Hôpital Saint-Antoine, 184, rue du faubourg Saint-Antoine, 75012 Paris.
Gallouedec
G
G
Bousson
V
V
Bonneville
F
F
Vidailhet
M
M
Tubiana
J M
JM
D000328:Adult; D003287:Contrast Media; D003389:Cranial Nerve Diseases / Q000175:diagnosis* / Q000382:microbiology; D003937:Diagnosis, Differential; D005154:Facial Nerve / Q000473:pathology; D005158:Facial Paralysis / Q000175:diagnosis* / Q000382:microbiology; D005682:Gadolinium; D006801:Humans; D007089:Image Enhancement; D008193:Lyme Disease / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D011115:Polyneuropathies / Q000175:diagnosis* / Q000382:microbiology; D000159:Vestibulocochlear Nerve / Q000473:pathology; D000160:Vestibulocochlear Nerve Diseases / Q000175:diagnosis
D003287:Contrast Media; D005682:Gadolinium