[Recurrent nerve palsy due to Lyme disease: report of two cases].
BACKGROUND
Neuroborreliosis can be a difficult diagnosis which requires epidemiologic, clinical and biologic arguments.


METHODS
We report two patients who presented with a recurrent laryngeal nerve palsy with positive Lyme serology and favorable outcome after antibiotic therapy. In one case, a lymphocytic meningitis with intrathecal production of specific antibodies was evidenced.


CONCLUSIONS
Recurrent laryngeal nerve palsy is an uncommon manifestation of neuroborreliosis. Lyme serology is an important tool when neurologic disorder occurs because of an atypical course of Lyme disease.
Martzolff
L
L
hôpital Emile-Muller, Mulhouse, France. lionel.martzolff@wanadoo.fr
Bouhala
M
M
Dukic
R
R
Saraceni
O
O
Wilhelm
J-M
JM
Bombaron
P
P
Kieffer
P
P
D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D025065:Borrelia burgdorferi / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis; D020852:Lyme Neuroborreliosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D012698:Serologic Tests; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents