Opsoclonus–myoclonus as a manifestation of Lyme disease. Issue 9 (16th August 2006)

• Record Type: Journal Article
• Authors: Peter, L; Jung, J; Tilikete, C; Ryvlin, P; Mauguiere, F
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 77:Issue 9(2006)
• Page Start: 1090
• Page End: 1091
• Publication Date: 2006-08-16
• Subjects: CNS, central nervous system -- CSF, cerebrospinal fluid -- OMS, opsoclonus–myoclonus syndrome; Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.2006.091728
• Languages: English
• ISSNs: 0022-3050

Abstract

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.