Cervical Radiculitis as Initi al Clinical Fe ature of Ne uroborreli osis – Case Reports

Czech version

Authors: L. Gurčík; A. Tomášová; O. Benc; P. Galik; V. Gašparíková; P. Kubaľová; S. Lišková
Authors‘ workplace: Ne urologické oddeleni e VNsP Levoča, a. s.
Published in: Cesk Slov Neurol N 2009; 72/105(3): 255-259
Category: Case Report

Overview

The most common ca uses of cervical radicular syndromes are oste oproductive changes of cervical spine (68%) and disc herni ati ons (22%). The di agnosis of oste odiscogenic radicular syndrome is supported by ne uro imaging findings (the method of cho ice is MRI), electrophysi ological examinati ons and other methods. In 10 % of cases the eti ology of cervical radicular syndrome is other than discogenic. This possibility sho uld be remembered, when the co urse of dise ase is atypical, there is no correlati on between clinical symptoms and ne uro image findings and standard tre atment is ineffective. In o ur article, two case reports of pati ents with Lyme dise ase are presented, in which the initi al clinical symptomatology resembled discogenic radicular syndrome. The first pati ent later developed spinal symptoms with fast progressi on. In order to rule o ut primary or secondary spinal tumor, bi opsy of intramedular expansi on was performed with a noncharacteristic histological finding. Di agnosis in the second pati ent was supported by development of bilateral peripheral faci al palsy and other ne urological symptoms. High titers of antibodi es in serum and cerebrospinal fluid in both pati ents led to the final di agnosis of Lyme dise ase.

Key words:
cervical radiculitis – ne uroborreli osis – Garin‑Bujado ux- Bannwarth syndrome

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