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After failing to respond to an empiric trial of intravenous ceftriaxone for a presumptive diagnosis of Lyme disease, computed tomography scan of the chest was ordered which demonstrated bilateral hilar lymphadenopathy, Facial numbness paralysis.

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The CSF analysis was within the normal range except for a raised protein level at

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We can use electrophysiological testing and imaging to find out how severe your injury is.

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She complained of bilateral headaches, a 20 lb weight loss over the prior month, and an alteration of her taste sensation.

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A diagnosis of Bell's palsy with a Grade V House-Brackmann grading system weakness was made and sent home with 40 mg of prednisone and acyclovir.

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She initially presented with an isolated left sided Bell's palsy without any symptoms to suggest alternative diagnoses.

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Types of facial nerve disorder Facial nerve disorders can be caused by infection, injury or other conditions.

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If this isn't possible, we'll look at other surgical options to restore movement or symmetry to your face.

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Within a month there was progression to peripheral facial paresis on the contra lateral side, prompting a diagnosis of Lyme disease.

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