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AAEM case report #26: Seventh cranial neuropathy
Author(s) -
Gilchrist James M.
Publication year - 1993
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.880160502
Subject(s) - medicine , corneal reflex , geniculate ganglion , electromyography , palsy , facial nerve , neuritis , facial paralysis , lesion , lyme disease , facial muscles , surgery , reflex , anatomy , anesthesia , physical medicine and rehabilitation , pathology , alternative medicine , virology
AAEM CASE REPORT #26. A 25‐year‐old man with acute, bilateral facial palsies is presented. He had a lymphocytic meningitis, history of tick bites, and lived in an area endemic for Lyme disease, which was ultimately confirmed by serology. Electrodiagnostic investigation included facial motor nerve study, blink reflex and electromyography of facial muscles, which were indicative of a neurapraxic lesion on the right and an axonopathic lesion on the left. The clinical course was consistent with these findings as the right side fully recovered and the left remained plegic. The clinical features of Lyme associated facial neuritis are reviewed, as is the electrodiagnostic evaluation of facial palsy.