Lyme disease presenting with multiple cranial neuropathies on MRI

Lyme disease presenting with multiple cranial neuropathies on MRI

We present the case of a 10-year old patient from southeastern Ontario with severe bilateral facial palsy. MRI was performed that showed extensive symmetric enhancement of cervical cranial nerve roots and multiple cranial nerves (III, V, VI, VII, VIII, X and XII). Lumbar puncture was performed that...

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Bibliographic Details
Main Authors: Pierre-Philippe Piché-Renaud, Helen Branson, E. Ann Yeh, Shaun K. Morris
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:IDCases
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250918300659
Description
Summary:We present the case of a 10-year old patient from southeastern Ontario with severe bilateral facial palsy. MRI was performed that showed extensive symmetric enhancement of cervical cranial nerve roots and multiple cranial nerves (III, V, VI, VII, VIII, X and XII). Lumbar puncture was performed that revealed pleocytosis and elevated proteins in the cerebrospinal fluid. Serology confirmed the diagnosis of neuroborreliosis. The patient was treated with a 4-week course of IV ceftriaxone, following which he returned to baseline. Keywords: Lyme disease, Neuroborreliosis, Facial nerve palsy, Cranial neuropathies
ISSN:2214-2509

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