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The data and information presented in this web site are presented in good faith and believed to be accurate. Any and all liability for the content or any omissions including any inaccuracies, errors, or misstatements in such data or information is expressly disclaimed. The web site is compiled for the sole purpose of informing community members of resources and information pertaining to Lyme Borreliosis Disease and its coinfections.
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Consult a qualified Lyme ( Borreliosis ) Disease literate doctor for medical advice if Lyme Disease is suspect.
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Lyme neuroborreliosis. Peripheral nervous system manifestations
J Halperin, BJ Luft, DJ Volkman and RJ Dattwyler
Department of Neurology, State University of New York, Stony Brook 11794.
An ever increasing number of apparently unrelated peripheral nervous system (PNS) disorders has
been associated with Lyme borreliosis. To ascertain their relative frequency and significance, we studied
prospectively 74 consecutive patients with late Lyme disease, with and without PNS symptoms: 53% had
intermittent limb paraesthesiae, 25% the carpal tunnel syndrome, 8% painful radiculopathy, and 3% Bell's
palsy; 39% had disseminated neurophysiological abnormalities. To assess the interrelationships among
these syndromes, we reviewed the neurophysiological findings in all 163 such patients that we have studied
to date.
Reversible abnormalities of distal conduction were the most common finding. Demyelinating neuropathy
was extremely rare. The pattern of abnormality was similar in all patient groups, regardless of whether the
symptoms suggested radiculopathy, Bell's palsy, or neuropathy.
We conclude that (1) reversible PNS
abnormalities occur in one-third of our patients with late Lyme borreliosis, and (2) the pattern of
electrophysiological abnormalities is the same in all and is indicative of widespread axonal damage,
suggesting that these different presentations reflect varying manifestations of the same pathological process.
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