Unveiling Lyme Neuroborreliosis in the Absence of Dermatological Symptoms

Lyme neuroborreliosis can present with isolated neurological manifestations, posing diagnostic challenges, especially in the absence of hallmark dermatological symptoms like erythema migrans. This case highlights a patient with isolated cervical radiculopathy due to Lyme neuroborreliosis, presenting without systemic features such as fever, arthralgia, or rash. The diagnosis was confirmed through serological testing, with positive findings on the Western blot. Comparisons with reported cases, including isolated urinary retention, bilateral neurosensory hearing loss, and Bannwarth syndrome, reveal the clinical heterogeneity of Lyme neuroborreliosis. Elevated inflammatory markers, tick exposure, and serological findings remain crucial for diagnosis. This case emphasizes the importance of clinical vigilance in endemic areas, as timely recognition and treatment are essential to prevent long-term complications.