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Lyme disease associated with postganglionic Horner syndrome and Raeder paratrigeminal neuralgia.

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Abstract

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.

J Neuroophthalmol. 2007 Jun;27(2):123-4. Case Reports

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