{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:10:35Z","timestamp":1778238635648,"version":"3.51.4"},"reference-count":4,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Lyme disease, caused by the bacterium\n                      <jats:italic>Borrelia burgdorferi<\/jats:italic>\n                      , can cause multi-systemic signs and symptoms, including peripheral and central nervous system disease. Lyme neuroborreliosis rarely presents with spinal cord involvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>\n                      We describe a case of a 62-year-old man presenting with fever, meningeal syndrome, rapidly progressive flaccid tetraplegia with preserved sensory function, and urinary and fecal incontinence. Cervical magnetic resonance imaging (MRI) demonstrated extensive intramedullary T2 hyperintensity associated with diffuse circumferential pachymeningeal enhancement on contrast-enhanced T1-weighted images. Serum and cerebrospinal fluid analyses revealed positive anti-\n                      <jats:italic>B. burgdorferi<\/jats:italic>\n                      immunoglobulin G (IgG) and IgM antibodies, confirming a diagnosis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Lyme neuroborreliosis should be considered in patients presenting with acute myelomeningitis. MRI plays a crucial role in diagnosis, and early recognition is essential to initiate appropriate antibiotic therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_1426_2025","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T10:33:34Z","timestamp":1778236414000},"page":"259","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute cervical myelomeningitis secondary to Lyme neuroborreliosis"],"prefix":"10.25259","volume":"17","author":[{"given":"Jawad","family":"Laaguili","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zakaria Chandid","family":"Tlemcani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cherkaoui","family":"Mandour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbad Cherif","family":"El Asri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miloud","family":"Gazzaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"10.25259\/SNI_1426_2025\/ref-1","doi-asserted-by":"crossref","first-page":"e01422","DOI":"10.1016\/j.idcr.2022.e01422","article-title":"Rare case of acute transverse myelitis associated with Lyme neuroborreliosis","volume":"27","author":"Chohan","year":"2022","journal-title":"IDCases"},{"key":"10.25259\/SNI_1426_2025\/ref-2","doi-asserted-by":"crossref","first-page":"e00479","DOI":"10.1016\/j.idcr.2018.e00479","article-title":"Acute transverse myelitis-a rare clinical manifestation of Lyme neuroborreliosis","volume":"15","author":"Dumic","year":"2019","journal-title":"IDCases"},{"key":"10.25259\/SNI_1426_2025\/ref-3","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1002\/ana.410370602","article-title":"Lyme neuroborreliosis","volume":"37","author":"Garcia-Monco","year":"1995","journal-title":"Ann Neurol"},{"key":"10.25259\/SNI_1426_2025\/ref-4","doi-asserted-by":"crossref","first-page":"115446","DOI":"10.1016\/j.diagmicrobio.2021.115446","article-title":"Comparison of the clinical practice guidelines for lyme disease from the infectious diseases society of America: 2000, 2006 and 2020","volume":"101","author":"Wormser","year":"2021","journal-title":"Diagn Microbiol Infect Dis"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/acute-cervical-myelomeningitis-secondary-to-lyme-neuroborreliosis\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/acute-cervical-myelomeningitis-secondary-to-lyme-neuroborreliosis\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T10:33:35Z","timestamp":1778236415000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/acute-cervical-myelomeningitis-secondary-to-lyme-neuroborreliosis\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,8]]},"references-count":4,"alternative-id":["10.25259\/SNI_1426_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_1426_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5,8]]},"article-number":"259"}}