MR imaging in neuroborreliosis of the cervical spinal cord.
The central nervous system is involved in 10-20% of cases in Lyme disease. The neurological symptoms, time course of the disease and imaging findings are multifaceted. We report two patients with cervical radiculitis. Magnetic resonance imaging revealed strong enhancement of the cervical nerve roots on contrast-enhanced T1-weighted images. These imaging patterns of borrelia-associated radiculitis have not been reported before. Knowledge of these imaging features may help to diagnose neuroborreliosis, which presents with non-specific symptoms.
Hattingen
Elke
E
Institute of Neuroradiology, University of Frankfurt, Schleusenweg 2-16, 60528 Frankfurt, Germany. elkejoerg@web.de
Weidauer
Stefan
S
Kieslich
Matthias
M
Boda
Volker
V
Zanella
Friedhelm E
FE
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood / Q000134:cerebrospinal fluid; D001898:Borrelia / Q000276:immunology; D002439:Cefotaxime / Q000627:therapeutic use; D002574:Cervical Vertebrae / Q000294:innervation / Q000473:pathology*; D002648:Child; D003287:Contrast Media / Q000008:administration & dosage; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D011843:Radiculopathy / Q000175:diagnosis / Q000209:etiology; D013116:Spinal Cord / Q000473:pathology*; D013118:Spinal Cord Diseases / Q000175:diagnosis*
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D003287:Contrast Media; D019786:Gadolinium DTPA; D002439:Cefotaxime