1. A 56-year-old woman with neck, bilateral shoulder, and bilateral arm pain.
A 56-year-old woman with neck, bilateral shoulder, and bilateral arm pain. In 2 weeks, she subsequently developed left facial palsy and positive serum EIA and Western blot (IgM and IgG) and CSF Lyme IgG and IgM antibodies. Complete resolution of symptoms occurred with oral doxycycline. Postcontrast sagittal and axial T1-weighted MR images show diffuse thin uniform cervical spinal cord leptomeningeal enhancement without apparent root or ganglion enhancement.
P. Hildenbrand et al. AJNR Am J Neuroradiol 2009;30:
©2009 by American Society of Neuroradiology