Simultaneous involvement of third and sixth cranial nerve in a patient with Lyme disease.
We report a 57-year-old woman with neuroborreliosis presenting with headache, shoulder muscle pain and double vision. MRI demonstrated enhancement of the right third and sixth cranial nerves. A 3D MP-RAGE sequence was used to perform multiplanar reformations to show this more graphically. The patient was free of symptoms 1 month after completion of therapy, when thickening and contrast enhancement of the nerves were less pronounced.
Lell
M
M
Division of Neuroradiology, Department of Neurosurgery, University of Erlangen-Nuremberg, Schwabachanlage 6, Germany.
Schmid
A
A
Stemper
B
B
Maihöfner
C
C
Heckmann
J G
JG
Tomandl
B F
BF
D020434:Abducens Nerve Diseases / Q000175:diagnosis*; D003287:Contrast Media; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D007091:Image Processing, Computer-Assisted; D020852:Lyme Neuroborreliosis / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis*
D003287:Contrast Media; D019786:Gadolinium DTPA