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Lyme disease is a multisystem complex illness. Neuroborreliosis is a neurological manifestation of Lyme disease. Neuroborreliosis is not very common in India. Neuroborreliosis disease sequelae sometime resolves completely but in some cases it became chronic which ultimately impairs the quality of life. Early diagnosis, medical management, and proper rehabilitation protocol improve the outcome of the disease. This case report demonstrates medical and rehabilitation management of neuroborreliosis in a middle-aged female, a native of Garhwal, Uttarakhand, with some atypical presentation.