Skip to main content
Log in

Simultaneous palsy of facial and vestibular nerve in a child with Lyme borreliosis

  • Infectious Diseases
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

We describe a boy with borreliosis characterized by lymphocytic meningitis and simultaneous palsy of facial and vestibular nerves on the left side. A mild sensoneural affection was also confirmed by brainstem evoked response audiometry. While symptoms of vestibular dysfunction quickly decreased during antibiotic treatment, facial palsy improved only slowly.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

B. b.:

Borrelia burgdorferi

BERA:

brainstem evoked response audiometry

References

  1. Christen HJ, Bartlau N, Hanefeld F, Thomssen R (1989) Lyme borreliosis — main cause of acute peripheral facial palsy in childhood. Monatsschr Kinderheilkd 137:151–157

    PubMed  Google Scholar 

  2. Clark JP, Carlson RD, Pachner AR, Sasaki CT, Steere AC (1985) Facial paralysis in Lyme disease. Laryngoscope 95: 1341–1345

    PubMed  Google Scholar 

  3. Dattwyler RJ, Volkman DJ, Halperin JJ, Luft BJ (1988) Treatment of late Lyme borreliosis — randomised comparison of ceftriaxone and penicillin. Lancet I:1191–1194

    Article  Google Scholar 

  4. Eichenfield AH, Athreya BH (1989) Lyme disease: of ticks and titers. J Pediatr 114:328–333

    PubMed  Google Scholar 

  5. Pachner AR, Steere AC (1985) The triad of neurologic manifestations of Lyme disease: meningitis, cranial neuritis and radiculoneuritis. Neurology 35:47–53

    PubMed  Google Scholar 

  6. Reik L, Steere AC, Bartenhagen NH, Shope RE, Malawista SE (1979) Neurologic abnormalities of Lyme disease. Medicine 58:281–294

    PubMed  Google Scholar 

  7. Schmutzhard E, Pohl P, Stanek G (1986) Involvement of Borrelia burgdorferi in cranial nerve affection. Zentralbl Bakteriol Mikrobiol Hyg [A] 328–333

  8. Stechenberg BW (1988) Lyme disease: the latest great imitator. Pediatr Infect Dis J 7:402–409

    PubMed  Google Scholar 

  9. Stiernstedt G, Sköldenberg B, Garde A, Kolmodin G, Jörbeck H, Svenungsson B, Carlström A (1986) Clinical manifestation of borrelia infections of the nervous system. Zentralbl Bakteriol Mikrobiol Hyg [A] 289–296

  10. Wokke JHJ, Gijn J van, Elderson A, Stanek G (1987) Chronic forms of Borrelia burgdorferi infection of the nervous system. Neurology 37:1031–1034

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Heininger, U., Ries, M., Christ, P. et al. Simultaneous palsy of facial and vestibular nerve in a child with Lyme borreliosis. Eur J Pediatr 149, 781–782 (1990). https://doi.org/10.1007/BF01957280

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01957280

Key words

Navigation