title: [Multiple mononeuropathy and inflammatory syndrome manifested in Lyme disease].
abstract: 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.
authors.affiliation: Fédération de Neurologie Mazarin, Groupe Hospitalier Pitié-Salpêtrière, Paris.
authors.forename: E
authors.initials: E
authors.lastname: Jalladeau
authors.forename: P F
authors.initials: PF
authors.lastname: Pradat
authors.forename: T
authors.initials: T
authors.lastname: Maisonobe
authors.forename: J M
authors.initials: JM
authors.lastname: Léger
mesh_terms: D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000175:diagnosis* / Q000473:pathology; D020422:Mononeuropathies / Q000175:diagnosis* / Q000473:pathology; D010525:Peripheral Nerves / Q000473:pathology; D018746:Systemic Inflammatory Response Syndrome / Q000175:diagnosis* / Q000473:pathology