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Case Report
HEAD AND NECK

Orbital Lyme Disease: MR Imaging before and after Treatment: Case Report

Girish M. Fatterpekara, Robin I. Gottesmanb, Michael Sachera and Peter M. Soma

a Department of Radiology, Mount Sinai School of Medicine, New York University, NY
b Tri-County MRI, Chatham, NJ

Address reprint requests to Peter M. Som, MD, Department of Radiology, Mount Sinai Hospital, One Gustave Levy Place, New York, NY 10029

Summary: Lyme disease is a multi-system organ disease caused by Borrelia burgdorferi. Although ocular manifestations have been reported, these remain a rare feature of the disease. To our knowledge, the radiology literature has not documented orbital Lyme disease both before and after treatment. We present the MR imaging findings of florid Lyme disease affecting the extraocular muscles in a 46-year-old man. A follow-up MR imaging study performed 6 months after a course of antibiotic therapy revealed complete resolution of the myositic changes.




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