Martzolff L, Bouhala M, Dukic R, Saraceni O, Wilhelm J-M, Bombaron P, Kieffer P
hôpital Emile-Muller, Mulhouse, France.
Rev Med Interne. 2010 Mar;31(3):229-31. doi: 10.1016/j.revmed.2009.07.012. Epub 2010 Jan 15.
Neuroborreliosis can be a difficult diagnosis which requires epidemiologic, clinical and biologic arguments.
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.
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.
神经型莱姆病可能是一种难以诊断的疾病，需要流行病学、临床和生物学依据。
我们报告了两名患者，他们均表现为喉返神经麻痹，莱姆血清学检查呈阳性，抗生素治疗后预后良好。其中一例患者还证实存在伴有鞘内特异性抗体产生的淋巴细胞性脑膜炎。
喉返神经麻痹是神经型莱姆病的一种罕见表现。当因莱姆病非典型病程导致神经系统疾病时，莱姆血清学检查是一项重要工具。
