meningoradiculitis

髄膜神経根炎

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1. 緊張性瞳孔 tonic pupil
2. ライム病：小児における臨床症状 lyme disease clinical manifestations in children
3. 小児における後天性末梢性ニューロパチーの概要 overview of acquired peripheral neuropathies in children

English Journal

Sciatica with motor loss and hemi-cauda equina syndrome due to varicella-zoster virus meningoradiculitis.

Allorent J, Cozic C, Guimard T, Tanguy G, Cormier G.KEYWORDS: Cauda equina syndrome, Polyradiculopathy, Varicella-zoster virus, Wegener's granulomatosis
Joint, bone, spine : revue du rhumatisme.Joint Bone Spine.2013 Jul;80(4):436-7. doi: 10.1016/j.jbspin.2012.12.008. Epub 2013 Mar 1.
PMID 23453474

Lyme neuroborreliosis.

Hansen K1, Crone C, Kristoferitsch W.Author information 1Department of Neurology, Rigshospitalet, University Clinic Copenhagen, Denmark. Electronic address: kha@dadlnet.dk.AbstractLyme neuroborreliosis (LNB) designates the nervous system disorders caused by the tick-borne spirochete Borrelia burgdorferi (Bb). The clinical syndromes are usually distinct and are classified as early and the rare late or chronic LNB. Early LNB occurs 3-6 weeks after infection most frequently as a lymphocytic meningoradiculoneuritis (LMR). Symptoms are mainly due to a painful sensory radiculitis and a multifocal motor radiculo-neuritis. Fifty percent have cranial nerve involvement predominantly uni- or bilateral facial nerve palsies. Meningitic symptoms occur primarily in children. Nerve biopsies, autopsies, animal models, and nerve conduction studies showed that the pathology is a lymphocytic perineuritis leading to multisegmental axonal injury of nerve roots, spinal ganglia, and distal nerve segments. Due to meningeal and root inflammation cerebrospinal fluid (CSF) shows lymphocytic inflammation. The only evidence that Bb causes peripheral neuropathy without CSF inflammation is seen in patients with acrodermatitis chronica atrophicans (ACA), a chronic dermatoborreliosis. In the rare chronic or late LNB the pathology and thus the clinical presentation is primarily due to chronic meningitis and meningovascular CNS involvement, whereas the peripheral nervous system is not primarily affected. In early and late LNB the diagnosis is based on a characteristic clinical appearance and CSF inflammation with Bb-specific intrathecal antibody production. Both conditions, but not the ACA-associated neuropathy, respond to antibiotic therapy.
Handbook of clinical neurology.Handb Clin Neurol.2013;115:559-75. doi: 10.1016/B978-0-444-52902-2.00032-1.
Lyme neuroborreliosis (LNB) designates the nervous system disorders caused by the tick-borne spirochete Borrelia burgdorferi (Bb). The clinical syndromes are usually distinct and are classified as early and the rare late or chronic LNB. Early LNB occurs 3-6 weeks after infection most frequently as a
PMID 23931802

Delayed diagnosis of lyme neuroborreliosis presenting with abducens neuropathy without intrathecal synthesis of Borrelia antibodies.

Radzišauskienė D1, Ambrozaitis A, Marciuškienė E.Author information 1Department of Infectious, Chest Diseases, Dermatovenerology and Allergology, Vilnius University, Birutės 1, 08117 Vilnius, Lithuania. daiva730jvg@gmail.comAbstractLyme borreliosis is the most common tick-born infection in Europe. Global climate change expanding the range of tick vectors and an increase in the incidence suggest that this disease will remain an important health issue in the forthcoming decades. Lyme borreliosis is a multisystem organ disorder affecting the nervous system in 10% to 15% of cases. Lyme neuroborreliosis can present with any disorder of the central and peripheral nervous systems. The neuro-ophthalmological manifestations are a rare feature of the disease. The intrathecal synthesis of Borrelia burgdorferi antibodies is of diagnostic importance, but in rare cases, immunoglobulins against the Borrelia burgdorferi antigen may not be detected. We report a case of possible Lyme neuroborreliosis presenting with sixth cranial nerve neuropathy at the onset of the disease further developing into typical meningoradiculitis and multiple mononeuropathy. Surprisingly, Borrelia burgdorferi antibodies were not detected in the cerebrospinal fluid.
Medicina (Kaunas, Lithuania).Medicina (Kaunas).2013;49(2):89-94.
Lyme borreliosis is the most common tick-born infection in Europe. Global climate change expanding the range of tick vectors and an increase in the incidence suggest that this disease will remain an important health issue in the forthcoming decades. Lyme borreliosis is a multisystem organ disorder a
PMID 23888345

Japanese Journal

Suprascapular Nerve Paralysis Due to Streptococcal Meningoradiculitis in a Cow(Pathology)

MATSUDA Kazuya,SATO Noe,SAKAGUCHI Kanako,TAGUCHI Kiyoshi,TANIYAMA Hiroyuki
Journal of Veterinary Medical Science 70(12), 1349-1351, 2008-12-25
… From these findings, the suprascapular nerve paralysis in this case was considered to result from meningoradiculitis associated with systemic streptococcal infection. …
NAID 110007021717