Simultaneous involvement of third and sixth cranial nerve in a patient with Lyme disease

M Lell; A Schmid; B Stemper; C Maihöfner; J G Heckmann; B F Tomandl

doi:10.1007/s00234-002-0904-x

Simultaneous involvement of third and sixth cranial nerve in a patient with Lyme disease

Neuroradiology. 2003 Feb;45(2):85-7. doi: 10.1007/s00234-002-0904-x. Epub 2002 Dec 18.

Authors

M Lell¹, A Schmid, B Stemper, C Maihöfner, J G Heckmann, B F Tomandl

Affiliation

¹ Division of Neuroradiology, Department of Neurosurgery, University of Erlangen-Nuremberg, Schwabachanlage 6, Germany.

PMID: 12592489
DOI: 10.1007/s00234-002-0904-x

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.

Publication types

Case Reports

MeSH terms

Abducens Nerve Diseases / diagnosis*
Contrast Media
Female
Gadolinium DTPA
Humans
Image Processing, Computer-Assisted
Lyme Neuroborreliosis / diagnosis*
Magnetic Resonance Imaging*
Middle Aged
Oculomotor Nerve Diseases / diagnosis*

Substances

Contrast Media
Gadolinium DTPA