Recurrent nerve palsy due to Lyme disease: Report of two cases

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Rev Med Interne. 2010 Jan 13. [Epub ahead of print]

 

Recurrent nerve palsy due to Lyme disease: Report of two cases

 

[Article in French]

 

Martzolff L, Bouhala M, Dukic R, Saraceni O, Wilhelm JM, Bombaron P,

Kieffer P.

 

Service de médecine interne et endocrinologie, hôpital Emile-Muller, 87,

avenue d'Altkirch, BP 1070, Mulhouse cedex, France.

 

INTRODUCTION:

Neuroborreliosis can be a difficult diagnosis which requires

epidemiologic, clinical and biologic arguments.

 

CASE REPORTS:

We report two patients who presented with a recurrent laryngeal nerve

palsy with positive Lyme serology and favorable outcome after antibiotic

therapy. In one case, a lymphocytic meningitis with intrathecal production of

specific antibodies was evidenced.

 

CONCLUSION:

Recurrent laryngeal nerve palsy is an uncommon manifestation of

neuroborreliosis. Lyme serology is an important tool when neurologic disorder

occurs

because of an atypical course of Lyme disease.

 

Société nationale française de médecine interne (SNFMI).

Published by Elsevier SAS. All rights reserved.

 

PMID: 20079561