Nervous System Lyme Disease

Lyme disease is a multi-system infectious disease that is a tick borne illness. It causes a range of symptoms, most commonly involving the nervous system. The most common types of neurologic syndromes that are manifested by this disease are lymphocytic meningitis, cranial neuritits and painful radiculitis. The most frequent and dramatic of the symptoms involve the peripheral nervous system. Of the cranial neuropathies, Bell’s Palsy (bilateral) is most common in untreated patients. The other very common and most frequently diagnosed manifestation is an inflammatory radiculopathy. Patients will exhibit pain, sensorimotor symptoms and deficits while there is no previous history of injury and diagnostic studies will remain non-diagnostic. In some patients the only manifestation may be cognitive and related to a form of encephalitis that ensues with disease progression. Antibiotic treatment is highly effective, with excellent long term outcomes.

Bibliography

John J. Halperin, M. N. (2000, August 1). Medscape News Nurses. Retrieved April 7, 2011, from Medscape: http://www.medscape.com/viewarticle/410080 (Audria Herrera)