Abstract

MONTEIRO, Sergio G. et al. Bilateral diaphragmatic paralysis and Lyme neuroborreliosis. Ten-years of follow-up. Medicina (B. Aires) [online]. 2021, vol.81, n.3, pp.474-477. ISSN 0025-7680.

Borrelia burgdorferi infection (Lyme disease) is one of the few identifiable causes of neuralgic amyotrophy (AN). Bilateral diaphragmatic paralysis is considered rare in borreliosis, and the pattern of long-term recovery of diaphragm function is also uncertain. Transdiaphragmatic pressure is the gold standard for diagnosing bilateral diaphragmatic paralysis, a study that has been reported on a few occasions. We pres ent a case of AN associated with borrelia infection and bilateral diaphragmatic paralysis that provides a detailed follow-up of the spirometric evolution, the maximum static pressures in the mouth, and the transdiaphragmatic pressure from the onset of symptoms and in the long term. This case allows us to know one of the possible evolutionary profiles of diaphragmatic dysfunction in AN due to borreliosis.

Keywords : Brachial plexus neuritis; Lyme disease; Respiratory paralysis; Noninvasive ventilation.

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