A Mass-like Brainstem Lesion as an Unusual Presentation of Neuroborreliosis

A Case Report

Authors

  • Natia Burjanadze K. Eristavi National Center of Surgery, Department of Diagnostic Radiology, Tbilisi, Georgia
  • Medea Chichua K. Eristavi National Center of Surgery, Department of Diagnostic Radiology, Tbilisi, Georgia
  • Tamta Andrazashvili K. Eristavi National Center of Surgery, Department of Diagnostic Radiology, Tbilisi, Georgia
  • Khatuna Gordeladze K. Eristavi National Center of Surgery, Department of Diagnostic Radiology, Tbilisi, Georgia

DOI:

https://doi.org/10.59667/sjoranm.v28i1.24

Keywords:

lyme disease , neuroborreliosis , lyme encephalitis

Abstract

Neuroborreliosis is an uncommon manifestation of Lyme disease, typically presenting with peripheral neuritis, radiculopathy and/or meningitis. We present an atypical case of central nervous system involvement characterized by a mass-like brainstem lesion and additional supratentorial white matter lesions, radiologically mimicking an inflammatory demyelinating process and posing a significant diagnostic challenge.

Author Biographies

  • Natia Burjanadze, K. Eristavi National Center of Surgery, Department of Diagnostic Radiology, Tbilisi, Georgia

    MD, Radiology Resident

  • Medea Chichua, K. Eristavi National Center of Surgery, Department of Diagnostic Radiology, Tbilisi, Georgia

    MD, Radiologist

  • Tamta Andrazashvili, K. Eristavi National Center of Surgery, Department of Diagnostic Radiology, Tbilisi, Georgia

    MD, Radiology Resident

  • Khatuna Gordeladze, K. Eristavi National Center of Surgery, Department of Diagnostic Radiology, Tbilisi, Georgia

    MD, PhD

References

1. Rizzoli A, Hauffe H, Carpi G, Vourc’h HG, Neteler M, Rosa R. Lyme borreliosis in Europe. Euro Surveill. 2011;16(27):19906. https://doi.org/10.2807/ese.16.27.19906-en

2. Garkowski A, Łebkowska U, Kubas B, Garkowska E, Rutka K, Gawarecka E., Zajkowska J. Imaging of Lyme neuro-borreliosis: a pictorial review. Open Forum Infect Dis. 2020;7(10):ofaa370. https://doi.org/10.1093/ofid/ofaa370

3. Rupprecht TA, Koedel U, Fingerle V, Pfister HW. The pathogenesis of Lyme neuroborreliosis: from infection to inflammation. Mol Med. 2008;14(3–4):205–212. https://doi.org/10.2119/2007-00091.Rupprecht

4. Mygland A, Ljøstad U, Fingerle V, Rupprecht T, Schmutzhard E, Steiner I; European Federation of Neurological Societies. EFNS guidelines on the diagnosis and management of European Lyme neuroborreliosis. Eur J Neurol. 2010;17(1):8–16.e1–4. https://doi.org/10.1111/j.1468-1331.2009.02862.x

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Published

2026-02-26

Data Availability Statement

The imaging data supporting this case report are partially included in this article. Additional data are not publicly available due to patient privacy restrictions. Written informed consent for the publication was obtained from the patient and the anonymity of the patient was ensured.

How to Cite

A Mass-like Brainstem Lesion as an Unusual Presentation of Neuroborreliosis: A Case Report. (2026). Swiss Journal of Radiology and Nuclear Medicine, 28(1), 23-27. https://doi.org/10.59667/sjoranm.v28i1.24

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