title: [Bilateral peripheral facial paralysis secondary to Lyme disease].
abstract: Simultaneous bilateral facial paralisis (SBFP) occurs in 0.3-2% of all facial paralisis. We report a case of SBFP in association with Lyme disease. A review of literature about SBFP is made, studing specially the one caused by Borrelia burgdorferi. We present a diagnostic guideline of SBFP. Suspect diagnosis of Lyme disease is based on clinical and epidemiological criteria. Culture isolation of this bacteria is difficult, therefore serologic testing is required. Neuroborreliosis treatment is intravenous Ceftriaxone or Cefotaxime. Oral Doxycycline is useful in the treatment of neuritis without central nervous system involvement.
authors.affiliation: Servicio de Otorrinolaringología, Hospital General Universitario de Valencia.
authors.forename: E
authors.initials: E
authors.lastname: Zapater Latorre
authors.forename: A
authors.initials: A
authors.lastname: Castillo Ruiz
authors.forename: J R
authors.initials: JR
authors.lastname: Alba García
authors.forename: M
authors.initials: M
authors.lastname: Armengot Carceller
authors.forename: J
authors.initials: J
authors.lastname: Sancho Rieger
authors.forename: J
authors.initials: J
authors.lastname: Basterra Alegría
mesh_terms: D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D014057:Tomography, X-Ray Computed