A trembling detour to the diagnosis of encephalitis: a neuroborreliosis case report.

Radial and patchy hyperintensities in brainstem MRI are key features for diagnosing neuroborreliosis, as shown in a 59-year-old patient with atypical symptoms.

• Why it matters: Early diagnosis of neuroborreliosis is challenging due to its variable presentation and subtle MRI findings, risking delayed treatment and worse outcomes.
• What they did: The authors reviewed a case with initial symptoms of headache, tremor, and hiccups, highlighting overlooked MRI signs and emphasizing the importance of recognizing specific hyperintensity patterns.
• The result: Awareness of these MRI features can enable more accurate and timely diagnosis of neuroborreliosis, improving patient management and prognosis.