Extensive meningeal enhancement in acute central nervous system Lyme: Case series and review of literature

Introduction. Clinical presentation of the central nervous system Lyme disease is nonspecific and therefore brain imaging and disease-specific serological testing is generally pursued to assist with diagnosis. Brain imaging findings are, however, rare and often unspecific. Case description. In the current report, we are presenting a rare magnetic resonance imaging (MRI)finding of extensive meningeal enhancement in two patients with acute Lyme disease. Discussion. We discussed clinical implications and reviewed the relevant literature.