ISKIAS/BORRELIOOSI

[Bb]

Lähettäjä: Soijuv Lähetetty: 13.9.2005 17:57

Ranskalaisia tapausselostuksia, joissa potilailla oli borrelioosin aiheuttama iskias. Dg: akuutti hermojuuritulehdus.


Joint Bone Spine. 2004 Sep;71(5):433-7.

Sciatica, disk herniation, and neuroborreliosis. A report of four cases.

Dupeyron A, Lecocq J, Jaulhac B, Isner-Horobeti ME, Vautravers P,
Cohen-Solal J, Sordet C, Kuntz JL.

Physical Medicine and Rehabilitation Unit, Strasbourg Teaching Hospitals, Avenue Moliere, 67098 Strasbourg cedex, France.
arnaud.dupeyron@...

We report four cases of sciatica in patients with same-level disk herniation confirmed by computed tomography and a final diagnosis of acute radiculitis caused by Borrelia burgdorferi, with a favorable response to ceftriaxone therapy. The neurological manifestations of Lyme disease are protean, and a potential contribution of concomitant disk disease to sciatica can lead to diagnostic wanderings. Disk lesions and infectious conditions that can cause sciatica are discussed. Whether a favorable response to antibiotic therapy should be taken as proof of B. burgdorferi radiculitis deserves discussion. In practice, in a patient with clinical manifestations suggesting disk-related nerve root pain and residing or having traveled to an endemic area, B. burgdorferi infection should be looked for, as both etiologies can coexist.

Publication Types:

* Case Reports

PMID: 15474398 [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/entrez/quer ... opt=Abstra\
ct&list_uids=15474398&query_hl=5