The Immediate Onset of Isolated and Unilateral Abducens Nerve Palsy Associated with COVID-19 Infection: A Case Report and Literature Review

被引：5
作者：
Kubota, Takafumi [1 ]
Sugeno, Naoto [1 ]
Sano, Hirohito [2 ]
Murakami, Koji [2 ]
Ikeda, Kensuke [1 ]
Misu, Tatsuro [1 ]
Aoki, Masashi [1 ]
机构：
[1] Tohoku Univ, Dept Neurol, Grad Sch Med, Sendai, Miyagi, Japan
[2] Tohoku Univ, Dept Resp Med, Grad Sch Med, Sendai, Miyagi, Japan
来源：
INTERNAL MEDICINE | 2022年 / 61卷 / 11期
关键词：
COVID-19; SARS-CoV-2; neurological complication; abducens nerve palsy; Miller Fisher syndrome; anti-GQ1-b antibody;
D O I：
10.2169/internalmedicine.9308-22
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Cranial nerve palsy associated with coronavirus disease 2019 (COVID-19) is rare. We herein report the first Asian case of the immediate onset of isolated and unilateral abducens nerve palsy (ANP) accompanied with COVID-19 infection. A 25-year-old man developed diplopia one day after the COVID-19 symptom on-set. Neurological examination revealed limitation of left eye abduction without ataxia and hyporeflexia. Nega-tive anti-ganglioside antibody results and mild albuminocytological dissociation were noted. The patient was diagnosed with left ANP accompanied by COVID-19 infection. The ANP spontaneously recovered without treatment. ANP can develop during the early phase of COVID-19 infection and adversely affect patients??? quality of life.
引用
收藏
页码：1761 / 1765
页数：5
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