UNILATERAL RECURRENT NERVE PALSY POSSIBLY CAUSED BY LYME BORRELIOSIS

Cranial nerve palsy can often be observed in Borrelia burgdorferi infe ction. A dysphonic patient with a long lasting left-sided recurrent ne rve palsy was treated with ceftriaxone, an antibiotic drug for the the rapy of Lyme borreliosis. On the 7th day of application the paretic vo cal fold showed recovering movements up to regular vocal fold function and normal strobo-scopic results. Clinical and serologic constellatio ns and their therapeutical implications are discussed.