Lyme borreliosis in Bell's palsy. Long Island Neuroborreliosis Collaborative Study Group.

Abstract:

:Lyme borreliosis (LB) causes a range of neurologic manifestations, the most common of which is facial nerve paralysis. To evaluate nervous system LB, we organized a neurologic collaborative study group in Suffolk County, NY, a region of high LB incidence. Between July and September 1989, LB serologies were performed on all patients with new-onset Bell's palsy. Seven of 32 had serologic evidence of LB at onset. One, initially seronegative, was highly seropositive 5 weeks later. In the five in whom we examined CSF, there was no evidence of intrathecal synthesis of specific antibody. In highly endemic areas, LB may be responsible for 1/4 of cases of Bell's palsy. Rarely, the palsy may occur prior to the development of a measurable antibody response, indicating a need for follow-up serologic testing.

journal_name

Neurology

journal_title

Neurology

authors

Halperin JJ,Golightly M

doi

10.1212/wnl.42.7.1268

subject

Has Abstract

pub_date

1992-07-01 00:00:00

pages

1268-70

issue

7

eissn

0028-3878

issn

1526-632X

journal_volume

42

pub_type

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