Journal of Neurology

, Volume 233, Issue 2, pp 69–72

Neuropathy of vasculitic origin in a case of garin-boujadoux-bannwarth syndrome with positive borrelia antibody response

  • Fausto Camponovo
  • Claus Meier
Original Investigations

Summary

A 42-year-old man suffered from erythema chronicum migrans on different parts of the body after repeated tick bites. A few months after the last tick bite he developed a painful neuropathy in both legs with patchy disturbance of sensibility, mild weakness of the feet and loss of the right ankle jerk. Repeated determinations of antibodies against borrelia spirochetes revealed increasing IgG titres. Biopsy of the left sural nerve, which was clinically and electrophysiologically affected, showed a vasculitis of epineurial vasa nervorum and severe angiopathic lesions of the perineurium and the neural parenchyma. Parenteral high-dose penicillin treatment resolved the clinical symptoms.

Key words

Vasculitis Neuropathy Bannwarth syndrome Borrelia antibodies 

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Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • Fausto Camponovo
    • 1
  • Claus Meier
    • 1
  1. 1.Department of NeurologyUniversity of Berne, InselspitalBerneSwitzerland

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