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NEUROLOGY 1987;37:749
© 1987 American Academy of Neurology

Tick-bite meningoradiculoneuritis

Clinical, electrophysiologic, and histologic findings in 10 cases

J. M. Vallat, MD, J. Hugon, MD, M. Lubeau, MD, M. J. Leboutet, MD, M. Dumas, MD and R. Desproges-Gotteron, MD

Department of Neurology (Dm. Vallat, Hugon, Lubeau, and Dumas), the Laboratory of Pathology (Dr. Leboutet), and the Department of Rheumatology (Dr. Deaproges-Gottemn), University Hospital, Limoges, France.

We studied 10 adults with meningoradiculitis several weeks after a tick bite (Inodes). EMG evidence of denervation was associated with normal motor conduction velocities, prolongation of distal latencies, and low sensory amplitudes, suggesting axonal neuropathy. Sural nerve biopsies confirmed the axonal involvement. Infiltrations of lymphocytes and plasma cells, sometimes forming thick pericapillary cuffs with no accompanying necrosis of vessel walls, were numerous. Many capillaries of the endoneurium, perineurium, and epineurium were affected in this way.

Address Correspondence and reprint requests to Dr. Vallat, Department of Neurology, University Hospital, 87 042 Limoges, Ceder, France.

Presented in part at the annual meeting of the American Academy of Neurology, Boston, MA, April 1984.

Received May 8, 1986. Accepted for publication in final form August 27, 1986.




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