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Facial diplegia in the course of childhood Lyme disease: bilateral enhancement of the facial nerve and MRI after injection of gadolinium.

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Abstract

We report a rare case of
Lyme disease presenting as a bilateral seventh cranial nerve palsy and meningitis. The MR appearance was an enhancement of the internal auditory canal segment and mastoid segment of the seventh cranial nerve, in the absence of parenchymal lesions. One should consider
Lyme disease in the differential diagnosis of bilateral seventh cranial nerve palsy with enhancement.

J Neuroradiol. 1997 Dec;24(4):270-3. Case Reports; English Abstract

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