Lyme disease associated with postganglionic Horner syndrome and Raeder paratrigeminal neuralgia.
A 55-year-old woman developed severe unilateral headaches, periocular numbness, and Horner syndrome after presenting with symptoms consistent with Lyme disease. The combination of Horner syndrome and periocular headache and numbness constituted a diagnosis of Raeder paratrigeminal neuralgia. Although the headaches resolved with antibiotic treatment, the Horner syndrome persisted for at least 1 year. This case expands the spectrum of neurologic manifestations of Lyme disease to include postganglionic Horner syndrome as well as Raeder paratrigeminal neuralgia.
Murphy
Marjorie A
MA
Department of Ophthalmology, Rhode Island Hospital, Brown Medical School, Providence, Rhode Island 02903, USA. margiemurphy@cox.net
Szabados
Erica M
EM
Mitty
Jennifer A
JA
D005260:Female; D006732:Horner Syndrome / Q000150:complications*; D006801:Humans; D008193:Lyme Disease / Q000150:complications*; D008875:Middle Aged; D014277:Trigeminal Neuralgia / Q000150:complications*