Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 5 Issue 6

Incomplete Third Cranial Nerve Palsy Presenting with Binocular Diplopia and Strabismus in a Patient with COVID-19

Júlia N Widmer-Pintos1*, Sofía del-Pozo-Lérida1, Consuelo Arnaldos-López1, Noelia Barriga-Barrios1, Laura Sararols-Ramsay1, Hugo Gonzalez-Valdivia2 and Mercè Guarro-Miralles1

1Ophthalmology Department, Hospital General de Granollers, Barcelona, Spain
2Ophthalmic Plastic and Reconstructive Surgery Unit, Hospital Sant Joan de Déu, Barcelona, Spain

*Corresponding Author: Júlia N Widmer-Pintos, Ophthalmology Department, Hospital General de Granollers, Barcelona, Spain.

Received: April 27, 2022; Published: May 18, 2022

Abstract

Purpose: This paper aims to raise suspicion in clinicians for COVID-19 infection in the setting of a third nerve palsy of unknown origin.

Case Report: We report the case of a previously healthy 46-year-old male presenting with an acute onset of binocular diplopia, right eye strabismus, and right eye ptosis 1 day before being tested positive on an antigen test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Outcome: The patient successfully recovered 1 week after oral corticosteroid treatment.

Conclusion: Our patient’s case, together with other reported cases, adds evidence suggesting a correlation between SARS-CoV-2 infection and III cranial nerve palsy.

Keywords: COVID-19; SARS-CoV-2; Diplopia; III Cranial Nerve Palsy; Strabismus

References

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  2. Niazkar H R., et al. “The Neurological Manifestations of COVID-19: A Review Article”. Neurological Sciences7 (2020): 1667-1671.
  3. Carod-Artal F J. “Neurological Complications of Coronavirus and COVID-19”. Revista de Neurología9 (2020): 311-322.
  4. Elenga N., et al. “Unilateral Diplopia and Ptosis in a Child with COVID-19 Revealing Third Cranial Nerve Palsy”. Journal of Infection and Public Health9 (2021): 1198-1200.
  5. Belghmaidi S., et al. “Third Cranial Nerve Palsy Presenting with Unilateral Diplopia and Strabismus in a 24-year-old Woman with COVID-19”. The American Journal of Case Reports 21 (2020): e925897-1.
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  12. Fitzpatrick JC., et al. “Cranial Nerve III Palsy in the Setting of COVID-19 Infection”. Journal of Neuro-Ophthalmology3 (2021): e286.

Citation

Citation: Júlia N Widmer-Pintos., et al. “Incomplete Third Cranial Nerve Palsy Presenting with Binocular Diplopia and Strabismus in a Patient with COVID-19".Acta Scientific Ophthalmology 5.6 (2022): 72-75.

Copyright

Copyright: © 2022 Júlia N Widmer-Pintos., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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