Atypical presentation of Lyme neuroborreliosis related meningitis and radiculitis

• Main Authors: Iman Dabiri, Nicholas Calvo, Feryal Nauman, Mahsa Pahlavanzadeh, Ahmet Z. Burakgazi
• Format: Article
• Language: English
• Published: MDPI AG 2019-12-01
• Series: Neurology International
• Subjects: Lyme disease; Borrelia burgdorferi; meningitis; radiculitis
• Online Access: https://www.pagepress.org/journals/index.php/ni/article/view/8318

Lyme disease related central and peripheral nervous system manifestations can occur in isolation or together. Radiculitis or inflammation of the nerve root can be seen 3-5% of the time in acute neuroborreliosis affecting the PNS with a typical presentation and meningitis affecting the CNS is usually seen 1% of the time. The appropriate diagnosis and management of neuroborelliosis can be challenging and require meticulous medical approaches. Herein we present a unique case of Lyme disease with neurologic manifestations including both radiculitis and meningitis due to its atypical and challenging clinical presentation and management with updated literature review.