BMJ Case Reports 2013; doi:10.1136/bcr-2012-008060

Bilateral facial palsy: a form of neuroborreliosis presentation in paediatric age

  1. Maria João Brito3
  1. 1Department of Pediatrics, Hospital Dona Estefânia, CHLC, Lisboa, Portugal
  2. 2Department of Neurology, Hospital Dona Estefânia, CHLC, Lisboa, Portugal
  3. 3Department of Infecciology, Hospital Dona Estefânia, CHLC, Lisboa, Portugal
  1. Correspondence to Dr Telma Francisco, telmacarvalhofrancisco{at}


Bilateral facial palsy (BFP) is a very uncommon entity, particularly in the paediatric age group. Despite its several aetiologies, neuroborreliosis should be suspected, especially in children from endemic areas presenting with acute neurological disease of unknown cause. We present two cases of BFPs as the presenting forms of neuroborreliosis.

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