Abstract
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.
Similar content being viewed by others
References
Demaerel P, Crevits I, Casteels-Van Daele M, Baert AL (1998) Meningoradiculitis due to borreliosis presenting as low back pain only. Neuroradiology 40: 126–127
Demaerel P, Wilms G, Casteels K, Casaer P, Silberstein J, Baert AL (1995) Childhood neuroborreliosis: clinicoradiological correlation. Neuroradiology 37: 578–581
Nelson JA, Wolf MD, Yuh WT, Peeples ME (1992) Cranial nerve involvement with Lyme borreliosis demonstrated by magnetic resonance imaging. Neurology 42: 671–673
Rafto SE, Milton WJ, Galetta SL, Grossman RI (1990) Biopsy-confirmed CNS Lyme disease: MR appearance at 1.5 T. AJNR 11: 482–484
Pachner AR, Steere AC (1985) The triad of neurologic manifestations of Lyme disease: meningitis, cranial neuritis, and radiculoneuritis. Neurology 35: 47–53
Marsot-Dupuch K, Gallouedec G, Bousson V, Bonneville F, Vidailhet M, Tubiana JM (2000) Facial palsy, enhancement of cranial nerves and Lyme disease. J Radiol 81: 43–45
Mark AS, Blake P, Atlas SW, Ross M, Brown D, Kolsky M (1992) Gd-DTPA enhancement of the cisternal portion of the oculomotor nerve on MR imaging. AJNR 13: 1463–1470
Kruger H, Heim E, Schuknecht B, Scholz S (1991) Acute and chronic neuroborreliosis with and without CNS involvement: a clinical, MRI, and HLA study of 27 cases. J Neurol 238: 271–280
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lell, M., Schmid, A., Stemper, B. et al. Simultaneous involvement of third and sixth cranial nerve in a patient with Lyme disease.. Neuroradiology 45, 85–87 (2003). https://doi.org/10.1007/s00234-002-0904-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00234-002-0904-x