SUBARACHNOID HEMORRHAGE IN A PATIENT WITH LYME-DISEASE

Neuroborreliosis can cause a wide variety of seemingly unrelated neuro logic abnormalities. Although the epidemiology, etiology, and patholog y of this infection have been well documented, the pathogenesis and di agnosis continue to be problematic. In the current study we report a c ase of Lyme disease in which subarachnoid hemorrhage was the presentin g feature of a patient with polyradiculoneuropathy and encephalopathy. Magnetic resonance imaging of the spine demonstrated diffuse pial and meningeal enhancement with more focal nodular areas of involvement.