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Case Report

Ann Med Res. 2005; 12(2): 133-135


Bilateral Facial Paralysis Due To Lyme Neuropahty : A Case Report

Fazilet Hız*, Dilek Bozkurt*, Turgut Karagöl*, Aysel Çelik*, Meral Çınar*

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Abstract


 

Bilateral facial paralysis is an extremely rare clinical entity. It most often appears a special finding in a symptom

complex of a systemic disease; many of them are potentially life-threatening. Failure to diagnose and treat at an early

stage can have adverse clinical outcomes, and therefore clinicians should be aware of the differential diagnosis when

evaluating a case. Lyme disease, Guillain-Barre syndrome, Bell’s palsy, leukemia, sarcoidosis, bacterial menengitis,

syphilis, leprosy, Moebius syndrome, infectious mononucleosis, and skull fracture are the most common causes of

bilateral facial paralysis. A 55 years old man suffering from fatiguability, myalgia and ear pain since one month, has

delivered peripheral facial paralysis after six days in addition to mentioned symptoms first on the right then on the left

side. Specific antibody positivity against Borrelia burgdorferi was measured in the patient’s serum, in addition to a tickbite

history. Our case diagnosed Lyme disease was begun amoxicilline theraphy and in a short-time, his symptoms

relieved. Through this case, we wanted to notice Lyme disease that is one of the causes of bilateral facial paralysis and

to emphasize the necessity to ascertain ‘’ a tick-bite,, history and to search the specific antibodies against Borrelia

burgdorferi in such cases.

Key Words: Bilateral facial paralysis, Lyme disease, Tick-bite, Erythema migrans






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