Imaging of Lyme Neuroborreliosis: A Pictorial Review

Adam Garkowski; Urszula Łebkowska; Bożena Kubas; Ewa Garkowska; Katarzyna Rutka; Elwira Gawarecka; Joanna Zajkowska

doi:10.1093/ofid/ofaa370

Imaging of Lyme Neuroborreliosis: A Pictorial Review

Open Forum Infect Dis. 2020 Aug 19;7(10):ofaa370. doi: 10.1093/ofid/ofaa370. eCollection 2020 Oct.

Authors

Adam Garkowski¹, Urszula Łebkowska¹, Bożena Kubas², Ewa Garkowska¹, Katarzyna Rutka¹, Elwira Gawarecka¹, Joanna Zajkowska³

Affiliations

¹ Department of Radiology, Medical University of Białystok, Białystok, Poland.
² Independent Department, Laboratory of Molecular Imaging, Medical University of Białystok, Białystok, Poland.
³ Department of Infectious Diseases and Neuroinfections, Medical University of Białystok, Białystok, Poland.

Abstract

Lyme neuroborreliosis is a common feature of Borrelia burgdorferi infection (as a neurological manifestation occurring in 10%-15% of all Lyme disease cases) and may involve any part of the nervous system, and its coverings, but usually manifests as lymphocytic meningitis, cranial neuritis, and/or radiculoneuritis. This review describes the imaging findings in Lyme neuroborreliosis: the focal point is on the manifestations of involvement visible on brain and spine imaging.

Keywords: Borrelia burgdorferi; Lyme neuroborreliosis; imaging; magnetic resonance imaging; magnetic resonance spectroscopy.

Publication types

Review