Argyll Robertson pupils in lymphocytic meningoradiculitis (Bannwarth's syndrome)
May 1987
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Sir: Lymphocytic meningoradiculitis or Bannwarth's syndrome is clinically characterised by severe radicular pains with sensory and motor impairment and cranial nerve palsies, especially unilateral or bilateral facial weakness.'`4 The syndrome is probably a European variety of Lyme disease, 5 which is caused by a spirochete, Borrelia burgdorferi,6 and transmitted by the bite of a tick. In Bannwarth's syndrome antibodies to the same7 or to closely related8 spirochetes are found. CSF findings such as elevated protein and pleocytosis' - 3 are consistent with aseptic meningitis. The disease is often self-limiting, but the course of the disease and the duration of pain may be shortened by high doses of penicillin given intravenously. 9 In some cases it may be difficult to distinguish Bannwarth's syndrome from neurosyphilis. We present such a case. ...
- Male
- Aged
- Humans
- Diagnosis, Differential
- Neurosyphilis/*diagnosis
- Polyradiculopathy/*diagnosis
- Pupil/*physiology
- Borrelia Infections/*diagnosis
- Meningitis/*diagnosis
- syndrome
- pupil
- patient
- bannwarth
- disease
- swash m
- robertson
- argyll
- abnormality
- oculogyric crisis
- lyme disease
- henry mm
- borrelia burgdorferi
- antibody
- swash
- neurology
- floor
- finding
- oculogyric
- neurologic abnormalities
