Article Text

PDF
Opsoclonus–myoclonus as a manifestation of Lyme disease
  1. L Peter1,
  2. J Jung1,
  3. C Tilikete2,
  4. P Ryvlin1,
  5. F Mauguiere1
  1. 1Service de Neurologie et d’épileptologie, Hôpital Neurologique, Lyon, France
  2. 2Service de Neuro-ophtalmologie, Hôpital Neurologique
  1. Correspondence to:
 L Peter
 Service de Neurologie et d’Epileptologie, Hôpital Neurologique, 59 Boulevard Pinel, 69003 Lyon, France;laure.peter{at}wanadoo.fr

Abstract

Opsoclonus–myoclonus syndrome (OMS) is a rare condition that includes chaotic multidirectional saccadic eye movements associated with myoclonus and ataxia. In adults, it is usually considered to be an autoimmune disease occurring either in a paraneoplastic context or after central nervous system infection. We report the case of a patient who presented with the classic features of OMS as a manifestation of acute Borrelia burgdorferi infection that was shown both on serum and cerebrospinal fluid examination. The outcome was favourable after prolonged antibiotic treatment. Lyme disease could be added to the list of aetiologies to be screened in OMS, as it would allow effective treatment and avoidance of unnecessary investigations.

  • CNS, central nervous system
  • CSF, cerebrospinal fluid
  • OMS, opsoclonus–myoclonus syndrome

Statistics from Altmetric.com

Footnotes

  • Competing interests: None declared.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.