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BRIEF REPORT
Year : 2021  |  Volume : 69  |  Issue : 4  |  Page : 997--1001

Bilateral Facial Nerve Palsy in a Young Woman From West Bengal: Do Not Forget Lyme Neuroborreliosis

Niladri Kayal1, Ritwik Ghosh1, Partha Sarathi Mazumdar1, Shambaditya Das2, Saumyajit Ghosh1, Alak Pandit2, Julián Benito-Leon3 
1 Department of General Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
2 Department of Neuromedicine, Bangur Institute of Neurosciences, Kolkata, West Bengal, India
3 Department of Neurology, University Hospital “12 de Octubre”; Centro de Investigación Biomédica en Red Sobre Enfermedades Neurodegenerativas; Department of Medicine, Complutense University, Madrid, Spain

Correspondence Address:
Dr. Julián Benito-Leon
Av. de la Constitucion 73, Portal 3, 7º Izquierda, 28821 Coslada, Madrid
Spain

Borrelia burgdorferi can affect the nervous system in various ways, which can generate significant confusion and dilemma regarding diagnosis. From India, a country until recently known to be a nonendemic zone for Lyme disease, several cases and one study of Lyme neuroborreliosis have been published. The aim of this study was to describe a young woman with bilateral facial nerve palsy as the presenting manifestation of Lyme neuroborreliosis. We herein report a case of a lactating woman with acute onset progressive ascending flaccid tetraparesis that was preceded by a misdiagnosed bilateral facial nerve palsy. She was finally diagnosed to be a case of acute Lyme neuroborreliosis, which responded favorably to intravenous and orally administered antibiotics. The possibility of Lyme neuroborreliosis should be considered more often from now on because in the last year four cases with the kindred clinical syndrome have been described from a so-called “nonendemic zone.”


How to cite this article:
Kayal N, Ghosh R, Mazumdar PS, Das S, Ghosh S, Pandit A, Benito-Leon J. Bilateral Facial Nerve Palsy in a Young Woman From West Bengal: Do Not Forget Lyme Neuroborreliosis.Neurol India 2021;69:997-1001


How to cite this URL:
Kayal N, Ghosh R, Mazumdar PS, Das S, Ghosh S, Pandit A, Benito-Leon J. Bilateral Facial Nerve Palsy in a Young Woman From West Bengal: Do Not Forget Lyme Neuroborreliosis. Neurol India [serial online] 2021 [cited 2021 Oct 24 ];69:997-1001
Available from: https://www.neurologyindia.com/article.asp?issn=0028-3886;year=2021;volume=69;issue=4;spage=997;epage=1001;aulast=Kayal;type=0