ISKIASVAIVAT VOIVAT JOHTUA BORRELIOOSISTA

[Bb]

Lähettäjä: Soijuv Lähetetty: 23.10.2004 16:39

Tutkimuksessa esitetään 4 borrelioosia sairastavaa joilla oli välilevyn esiinluiskahdus iskiasvaivoineen. Dg: akuutti hermojuuren tulehdus jonka aiheuttaja oli borreliabakteeri.

Viimeinkin tutkimustulos (tapausselostus) tästä asiasta. Suurin osa borrelioosia sairastavista on tiennyt asian jo pitkään.


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

AUTHORS: Arnaud Dupeyron, Jehan Lecocq, Benoît Jaulhac, Marie-Eve Isner-Horobeti, Philippe Vautravers, Julien Cohen-Solal, Christelle Sordet, Jean-Louis Kuntz
AFFILIATION: Physical Medicine and Rehabilitation Unit, Strasbourg Teaching Hospitals, Avenue Molière, 67098 Strasbourg cedex, France.
REFERENCE: Joint Bone Spine 2004 Sep 71(5):433-7

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.