Isolated abducens nerve palsy due to COVID-19


BİNGÖL KIZILTUNÇ P., Seven M. Y., ATİLLA H.

STRABISMUS, cilt.30, sa.1, ss.35-37, 2022 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1080/09273972.2021.2022718
  • Dergi Adı: STRABISMUS
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.35-37
  • Anahtar Kelimeler: Abducens nerve palsy, COVID-19, cranial nerve, esotropia
  • Ankara Üniversitesi Adresli: Evet

Özet

Although coronavirus disease-2019 (COVID-19) is mainly a respiratory system disease, neurological complications due to peripheral and central nervous system involvement may be seen in these patients. In this case report, we described a patient with isolated abducens nerve palsy after COVID-19. The patient was a healthy 28-year-old man who developed isolated abducens nerve palsy 10 days after COVID-19. He had no systemic risk factors. He had 20 PD left esotropia (ED at distance and 16 PD left ET at near in primary position and ET increasing to 25 PD in left gaze. He had left abduction deficiency. His cranio-orbital magnetic resonance imaging findings were normal. He was diagnosed as left isolated abducens nerve palsy and his findings were recovered after 2 months. COVID-19 may cause ocular motor nerve palsies. Although the pathological mechanism remains unclear, direct viral invasion, inflammatory and immune mechanisms may play role. Further case reports and studies are needed to support these findings.