Fazialisparesen bei Neuroborreliosen im Kindesalter

Background. Acute periphere facial palsies in childhood were seen long before the discovery of Borrelia burgdorferi as agent of lyme borreliosis. In our follow-up-study we compared the duration of facial palsies with and without antibiotic treatment. Our patients were 53 children from 1975 to 1984 and 62 children from 1985 to 1994, 40 percent of these had a pleocytosis in the cerebrospinal fluid. Results. The duration of facial palsies were in these children with pleocytosis in the cerebrospinal fluid under a intravenously antibiotic treatment 14 days shorter than in the other group without antibiotic treatment. In addition the very long duration of facial palsies over 100 days existed 2,5 times less under antibiotic treatment. Discussion. We demand for a shorter duration of neuroborreliosis in childhood the early beginning of intravenously antibiotic treatment.