DIFFERENTIAL DIAGNOSIS OF RADICULOPATHY IN LYME BORRELIOSISAND DYSTROPHIC LESIONS OF THE VERTEBRAL COLUMN
https://doi.org/10.14412/1995-4484-2010-440
Abstract
Subjects and methods. Thirty patients, including 9 (30.0%) men and 21 (70.0%) women, with signs of radiculopathy (RP) in late-stages
Lyme borreliosis (LB) were examined. A control group comprised 30 patients with vertebrogenic RP in the presence of dystrophic changes
in the vertebral column.
Results. 56.7% of the patients with LB were observed to have its primary chronic course in the absence of the acute period of LB. The latter
with the signs of RP showed a topic association between the pain location and the tick bite site in 43.3% of the patients. A gradual disease
development was more frequently (63.3%) observed in LB while the periods of remission and exacerbation were more typical (56.7%) in
vertebrogenic RP. In the patients with LB, pain syndrome depended on posture and physical exercise less frequently (30.0%) than in those
with vertebrogenic RP (96.7%). Bilateral pain irradiation was more characteristic of RP in LB than in dystrophic lesions of the vertebral
column. The symptoms of tonic muscle tension and limited movement volume in the afflicted part of the vertebral column were significantly
less common in the patients with LB than in those with vertebrogenic RP. LB was marked by a concomitance of radicular and polyneuritic
disorders (83.3%) and vertebrogenic RP was characterized by a preponderance of the radicular-type of sensitivity disorder (100%).
Systemic inflammatory syndrome and polysystemacy of manifestations were more characteristic of LB. The benefits of nonsteriodal antiinflammatory
drugs in LB patients with RP were significantly worse than in those with vertebrogenic RP; regression of symptoms in LB was
seen only after a course of specific antibiotic therapy.
Lyme borreliosis (LB) were examined. A control group comprised 30 patients with vertebrogenic RP in the presence of dystrophic changes
in the vertebral column.
Results. 56.7% of the patients with LB were observed to have its primary chronic course in the absence of the acute period of LB. The latter
with the signs of RP showed a topic association between the pain location and the tick bite site in 43.3% of the patients. A gradual disease
development was more frequently (63.3%) observed in LB while the periods of remission and exacerbation were more typical (56.7%) in
vertebrogenic RP. In the patients with LB, pain syndrome depended on posture and physical exercise less frequently (30.0%) than in those
with vertebrogenic RP (96.7%). Bilateral pain irradiation was more characteristic of RP in LB than in dystrophic lesions of the vertebral
column. The symptoms of tonic muscle tension and limited movement volume in the afflicted part of the vertebral column were significantly
less common in the patients with LB than in those with vertebrogenic RP. LB was marked by a concomitance of radicular and polyneuritic
disorders (83.3%) and vertebrogenic RP was characterized by a preponderance of the radicular-type of sensitivity disorder (100%).
Systemic inflammatory syndrome and polysystemacy of manifestations were more characteristic of LB. The benefits of nonsteriodal antiinflammatory
drugs in LB patients with RP were significantly worse than in those with vertebrogenic RP; regression of symptoms in LB was
seen only after a course of specific antibiotic therapy.
About the Authors
L A NizovtsevaNataliya Sergeyevna Baranova
N N Spirin
E G Shipova
V A Bulanova
N Yu Krotova
References
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Review
For citations:
Nizovtseva L.A., Baranova N.S., Spirin N.N., Shipova E.G., Bulanova V.A., Krotova N.Yu. DIFFERENTIAL DIAGNOSIS OF RADICULOPATHY IN LYME BORRELIOSISAND DYSTROPHIC LESIONS OF THE VERTEBRAL COLUMN. Rheumatology Science and Practice. 2010;48(3):31-35. (In Russ.) https://doi.org/10.14412/1995-4484-2010-440
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