Malpractice. The delivery of substandard care or services by a lawyer, doctor, dentist, accountant, or other professional. Generally, malpractice occurs when a professional fails to provide the quality of care that should reasonably be expected in the circumstances, with the result that a patient or client is harmed.
An UpToDate review on Nervous system Lyme disease (Halperin, 2011) states that [s]ince Lyme encephalomyelitis is so rare, MRI of the brain and spine is only rarely abnormal in Lyme disease. When present, encephalomyelitis is evident on MRI as areas of increased signal on T2 and FLAIR sequences.
Lyme disease is medically described in three phases (stages) as: (1) early localized disease with skin inflammation and rash; (2) early disseminated disease with heart and nervous system involvement, including palsies and meningitis; and (3) late disease featuring motor and sensory nerve damage and brain inflammation, as well as arthritis.