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Bilateral Vocal Cord Paralysis Requiring Tracheostomy Due to Neuroborreliosis

Carlos D. Martínez-Balzano, MD; Bruce Greenberg, MD, MBA Neuroborreliosis can cause multiple cranial and peripheral neuropathies; however, involvement of both recurrent laryngeal nerves is rare. We report the case of a 90-year-old man who presented with dysphonia and right upper and lower extremity weakness. His course was complicated by bilateral vocal cord paralysis and respiratory…