[Bilateral peripheral facial paralysis secondary to Lyme disease].

Abstract

Simultaneous bilateral facial paralisis (SBFP) occurs in 0.3-2% of all facial paralisis. We report a case of SBFP in association with Lyme disease. A review of literature about SBFP is made, studing specially the one caused by Borrelia burgdorferi. We present a diagnostic guideline of SBFP. Suspect diagnosis of Lyme disease is based on clinical and epidemiological criteria. Culture isolation of this bacteria is difficult, therefore serologic testing is required. Neuroborreliosis treatment is intravenous Ceftriaxone or Cefotaxime. Oral Doxycycline is useful in the treatment of neuritis without central nervous system involvement.

• Authors: E Zapater Latorre, A Castillo Ruiz, J R Alba García, M Armengot Carceller, J Sancho Rieger, J Basterra Alegría
• Journal: Anales otorrinolaringologicos ibero-americanos (An Otorrinolaringol Ibero Am) Vol. 31 Issue 5 Pg. 447-58 ( 2004) ISSN: 0303-8874 [Print] Spain
• Vernacular Title: Parálisis facial periférica bilateral secundaria a enfermedad de Lyme.
• PMID: 15566265 (Publication Type: Journal Article)

Topics

• Facial Paralysis (etiology)
• Female
• Humans
• Lyme Disease (complications, diagnostic imaging, pathology)
• Magnetic Resonance Imaging
• Middle Aged
• Peripheral Nervous System Diseases (etiology)
• Tomography, X-Ray Computed