title: Diagnostic Lumbar Puncture Among Children With Facial Palsy in a Lyme Disease Endemic Area.
abstract: We identified 620 children with peripheral facial palsy of which 211 (34%) had Lyme disease. The 140 children who had a lumbar puncture performed were more likely to be hospitalized (73% LP performed vs 2% no LP) and to receive parenteral antibiotics (62% LP performed vs 6% no LP).
authors.affiliation: Division of Emergency Medicine, Boston Children's Hospital, Massachusetts.
authors.forename: Niloufar
authors.initials: N
authors.lastname: Paydar-Darian
authors.affiliation: Division of Emergency Medicine, Boston Children's Hospital, Massachusetts.
authors.forename: Amir A
authors.initials: AA
authors.lastname: Kimia
authors.affiliation: Divisions of General Internal Medicine and Pediatric Infectious Diseases, Duke University Medical Center, Durham, North Carolina, and.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Lantos
authors.affiliation: Division of Emergency Medicine, Boston Children's Hospital, Massachusetts.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Fine
authors.affiliation: Division of Emergency Medicine, Boston Children's Hospital, Massachusetts.
authors.forename: Caroline D
authors.initials: CD
authors.lastname: Gordon
authors.affiliation: Division of Emergency Medicine, Boston Children's Hospital, Massachusetts.
authors.forename: Catherine R
authors.initials: CR
authors.lastname: Gordon
authors.affiliation: Harvard Extension School, Cambridge, Massachusetts.
authors.forename: Assaf
authors.initials: A
authors.lastname: Landschaft
authors.affiliation: Division of Emergency Medicine, Boston Children's Hospital, Massachusetts.
authors.forename: Lise E
authors.initials: LE
authors.lastname: Nigrovic
mesh_terms: D000293:Adolescent; D001900:Boston; D002648:Child; D003430:Cross-Sectional Studies; D005158:Facial Paralysis / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000134:cerebrospinal fluid / Q000150:complications / Q000175:diagnosis*; D008297:Male; D012189:Retrospective Studies; D013129:Spinal Puncture
keywords: Lyme disease; Lyme meningitis.; cerebrospinal fluid pleocytosis; facial palsy; lumbar puncture