title: [Extensive Myelitis as a Manifestation of Neuroborreliosis].
abstract: Neurological manifestations of Lyme disease are reported in 3% - 12% of patients, with the most common form of presentation being meningoradiculitis. Other symptoms involving the central nervous system, such as myelitis or encephalitis, are rare (< 5 %). We report a case of a 66-year-old male, with a subacute extensive transverse myelitis, secondary to Borrelia burgdorferi infection. The patient underwent antibiotic therapy filed for neuroborreliosis with a good clinical outcome. The rareness in clinical symptoms and imaging presentation, based on a treatable infectious disease, highlights the importance of the inclusion of neuroborreliosis in the differential diagnosis of longitudinally extensive transverse myelitis.
authors.affiliation: Serviço de Neurologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Ana
authors.initials: A
authors.lastname: Brás
authors.affiliation: Serviço de Doenças Infecciosas. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Nuno
authors.initials: N
authors.lastname: Marques
authors.affiliation: Serviço de Neurologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Santiago
authors.affiliation: Serviço de Neurologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Anabela
authors.initials: A
authors.lastname: Matos
authors.affiliation: Serviço de Neurologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Fradique
authors.initials: F
authors.lastname: Moreira
mesh_terms: D000368:Aged; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000175:diagnosis*; D008297:Male; D009187:Myelitis / Q000382:microbiology*