[Recurrent nerve palsy due to Lyme disease: report of two cases]

Abstract

Introduction: Neuroborreliosis can be a difficult diagnosis which requires epidemiologic, clinical and biologic arguments.

Case reports: 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.

Conclusion: 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.