Oculomotor nerve paralysis and bilateral facial nerve paralysis as presenting signs of Lyme disease
| Autor: | Clifford R. Weir, Peter Cackett |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Neurological signs
medicine.medical_specialty biology business.industry Cranial nerve palsy bacterial infections and mycoses medicine.disease biology.organism_classification Facial nerve Surgery LYME Ophthalmology Lyme disease medicine Paralysis Neurology (clinical) medicine.symptom Borrelia burgdorferi business Oculomotor Nerve Paralysis |
| Zdroj: | Neuro-Ophthalmology. 27:183-186 |
| ISSN: | 1744-506X 0165-8107 |
| DOI: | 10.1076/noph.27.1.183.14295 |
| Popis: | Lyme disease is a tick-borne illness caused by the spirochete Borrelia burgdorferi . On occasions, patients with Lyme disease present with isolated cranial nerve palsies; multiple palsies have rarely been reported in the literature.We discuss the case of a patient, who presented with a third nerve palsy and bilateral seventh nerve palsies and was subsequently diagnosed as suffering from Lyme disease.To our knowledge, this is the first reported case of Lyme disease presenting with this combination of neurological signs. A 53-year-old male from the Scottish Western Isles presented with a two-day history of double vision. On examination, he was found to have a left third cranial nerve palsy and a left seventh cranial nerve palsy. Five days later, the patient developed a right seventh cranial nerve palsy. Serum and CSF enzymelinked immunosorbent assay (ELISA) and Western blot analysis were both positive for Lyme disease as was CSF polymerase chain reaction (PCR) analysis. Subsequently, the patient gave a hist... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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