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CSF Findings in Children with Lyme Disease-Associated Facial Nerve Palsy
Arch Pediatr Adolesc Med 151:1224-1228, 11831997., Belman,A.L.,et al, 1997
See this aricle in Pubmed

Article Abstract
Cerebrospinal fluid white blood cell count,protein level,or both were abnormal in 27(68%)of the children.Thirty-six(90%)of the 40 children had CSF abnormality consistent with central nervous system infection or immune involvement by B burgdorferi.Of the 22 children with CSF pleocytosis,only 7(32%)had headache and none had meningeal signs.Most children with Lyme disease-associated facial nerve palsy have CSF abnormalities.Our studies indicate that,in endemic areas,facial nerve palsy in children may be a marker of Lyme disease and occult meningitis.When Lyme disease is suspected,CSF should be examined;in some cases,it may be helpful to expand beyond routine CSF studies to look at a battery of B burgdorferi-specific assays.
 
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antibiotics
central nervous system,infection of
cerebrospinal fluid
cerebrospinal fluid,abnormal
children
ELISA
facial nerve palsy
headache
lumbar puncture
Lyme disease
Lyme disease,children
meningitis
meningitis,aseptic
neurologic signs
pleocytosis of cerebrospinal fluid
serologic testing
serologic testing,false positive
spirochete infection
treatment of neurologic disorder
Western immunoblot test

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