Continuing to update this topic here...a UK spine patient sent me a link to this 12-year-old paper.
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Isolated neuritis of the sciatic nerve in a case of Lyme disease
Journal The Italian Journal of Neurological Sciences
Publisher Springer Milan
ISSN 0392-0461 (Print) 1126-5442 (Online)
Issue Volume 19, Number 2 / April, 1998
Case Report
Isolated neuritis of the sciatic nerve in a case of Lyme disease
S. Avanzi1 G. Messa1, A. Marbini1, G. Pavesi1 and F. Granella1
(1) Institute of Neurology, University of Parma, Strada del Quartiere 4, 1-43100 Parma, Italy
Received: 2 December 1996 Accepted: 14 February 1998
Abstract Lyme disease is an infectious disease caused by the spirochete Borrelia burgdorferi. The course of the disease is divided into three stages, the second of which may include various types of peripheral nervous system disturbances. We report the case of a patient with persistent deficits caused by the prevalent involvement of the sciatic nerve, confirmed by electrophysiological and neuropathological findings. The most significant bioptic results were axonal degeneration and perivascular inflammation. Damage to a single peripheral nerve as the dominant clinical expression during the course of Lyme disease is an unusual finding that has been rarely described in the literature.
Key words Lyme disease - Peripheral neuropathy - Sciatic nerve - Nerve biopsy - Vasculitis
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