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Acute bilateral painless radiculitis with abnormal Borrelia burgdorferi immunoblot.
[gm1 gangliosidosis]
A
57
-
year
-old
woman
with
a
history
of
hypertension
and
hypothyroidism
presented
with
painless
left
arm
weakness
and
numbness
2
weeks
before
evaluation
.
Nerve
conduction
studies
of
the
left
arm
revealed
normal
motor
and
sensory
responses
.
Needle
examination
revealed
acute
denervation
changes
in
all
myotomes
of
the
affected
extremity
,
including
cervical
paraspinals
on
the
left
,
and
several
myotomes
on
the
contralateral
side
.
The
laboratory
evaluation
revealed
normal
anti-
GM
1
antibodies
and
3
IgM
/
5
IgG
bands
on
Lyme
Western
Blot
.
The
patient
began
treatment
with
28
days
of
intravenous
ceftriaxone
.
On
follow-up
,
patient
had
regained
full
strength
of
her
extremities
with
no
sensory
deficits
.
Inflammatory
borrelia
radiculitis
usually
presents
with
pain
in
the
distribution
of
the
affected
nerves
and
nerve
roots
.
The
novelty
of
this
case
report
rests
on
(
1
)
the
absence
of
primary
borreliosis
symptomatology
preceding
the
radiculitis
and
(
2
)
the
painless
and
bilateral
clinical
presentation
in
a
patient
with
suspected
Lyme
radiculitis
.
