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To the Editor:
Neuropathies in Lyme disease—or the European version “borreliosis”— remain an enigma. We agree with the authors that demyelinating neuropathy in the context of Lyme disease has not been well documented, and it remains unclear whether the occurrence of the neuropathy and the diagnosis of Lyme disease is a chance association.1
We see many patients with neuroborreliosis in Austria where borreliosis infections are frequent. Polyradiculopathy, sometimes associated with cranial nerves, appears to be the clinical hallmark. CSF findings include pleocytosis, lymphocytes at various stages of activation, and monocytes. A negative CSF finding rules out the diagnosis.
Apart from the serologic diagnosis, electrophysiology often indicates radiculopathy, yet axonal damage and denervation …
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