Early disseminated Lyme disease typically presents with cardiac, rheumatologic, or neurologic symptoms. Though uncommon, Borrelia burgdorferi can invade the central nervous system and cause neuroborreliosis. In these patients, facial palsy, headache, and stiffness of the neck are the most common presenting symptoms. Our case describes a patient with oculomotor nerve palsy manifesting as double vision as the initial presentation of neuroborreliosis.



Again, while there are 3 stages of Lyme a person can bypass all and hop right to 3rd stage with neuro issues.  Go here for an example:  (Within 6 hours this little girl after being bit by a tick couldn’t walk or talk)

Also, it is quite common for Bb to invade the CNS.  In fact, it’s what it does best.

And trust me, there are a zillion symptoms that don’t fit the regurgitated paradigm.

Vision issues are quite common with Lyme/MSIDS patients.  Just ask around!

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