Unilateral ptosis and mydriasis secondary to presumed Lyme neuroborreliosis

Elianne De Larochellière; Joanne M Langley; Bashar M Bata

doi:10.1016/j.jaapos.2022.07.004

Unilateral ptosis and mydriasis secondary to presumed Lyme neuroborreliosis

J AAPOS. 2022 Oct;26(5):278-280. doi: 10.1016/j.jaapos.2022.07.004. Epub 2022 Sep 13.

Authors

Elianne De Larochellière¹, Joanne M Langley², Bashar M Bata³

Affiliations

¹ Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia; Department of Ophthalmology, Université Laval, Québec, Quebec.
² Departments of Pediatrics and Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia.
³ Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia. Electronic address: bata@dal.ca.

PMID: 36108883
DOI: 10.1016/j.jaapos.2022.07.004

Abstract

We report a case of unilateral acute-onset ptosis and mydriasis in a girl 2 years and 7 months of age from an area endemic for Lyme disease. She lacked other signs of oculomotor nerve palsy. She tested positive for Borrelia burgdorferi and negative for Bartonella henselae on serology and was diagnosed with Lyme neuroborreliosis. The ptosis and mydriasis resolved after 1 week of oral doxycycline.

Publication types

Case Reports

MeSH terms

Blepharoptosis* / diagnosis
Blepharoptosis* / etiology
Doxycycline / therapeutic use
Female
Humans
Lyme Neuroborreliosis* / complications
Lyme Neuroborreliosis* / diagnosis
Lyme Neuroborreliosis* / drug therapy
Mydriasis* / diagnosis
Mydriasis* / etiology

Substances

Doxycycline