Acute abducens nerve palsy in a patient with the novel coronavirus disease (COVID-19)

Michelle M. Falcone; Andrew J. Rong; Humberto Salazar; D. Wade Redick; Steven Falcone; Kara M. Cavuoto

doi:10.1016/j.jaapos.2020.06.001

Acute abducens nerve palsy in a patient with the novel coronavirus disease (COVID-19)

Michelle M. Falcone, Andrew J. Rong, Humberto Salazar, D. Wade Redick, Steven Falcone, Kara M. Cavuoto

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

We present a case of an abducens nerve palsy in a previously healthy young man in the setting of SARS-CoV-2 infection. Magnetic resonance imaging obtained 5 weeks after the onset of diplopia demonstrated an atrophic left lateral rectus muscle, which was hyperintense on T2 weighting, consistent with denervation. Although the mechanism of the nerve palsy remains unclear, it is suspected to be related to his viral illness, because the patient had no preexisting vascular risk factors or evidence of other neurologic disease on neuroimaging. Cranial nerve palsies may represent part of the neurologic spectrum of COVID-19.

Original language	English (US)
Pages (from-to)	216-217
Number of pages	2
Journal	Journal of AAPOS
Volume	24
Issue number	4
DOIs	https://doi.org/10.1016/j.jaapos.2020.06.001
State	Published - Aug 2020

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Ophthalmology

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title = "Acute abducens nerve palsy in a patient with the novel coronavirus disease (COVID-19)",

abstract = "We present a case of an abducens nerve palsy in a previously healthy young man in the setting of SARS-CoV-2 infection. Magnetic resonance imaging obtained 5 weeks after the onset of diplopia demonstrated an atrophic left lateral rectus muscle, which was hyperintense on T2 weighting, consistent with denervation. Although the mechanism of the nerve palsy remains unclear, it is suspected to be related to his viral illness, because the patient had no preexisting vascular risk factors or evidence of other neurologic disease on neuroimaging. Cranial nerve palsies may represent part of the neurologic spectrum of COVID-19.",

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AU - Rong, Andrew J.

AU - Salazar, Humberto

AU - Redick, D. Wade

AU - Falcone, Steven

AU - Cavuoto, Kara M.

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AB - We present a case of an abducens nerve palsy in a previously healthy young man in the setting of SARS-CoV-2 infection. Magnetic resonance imaging obtained 5 weeks after the onset of diplopia demonstrated an atrophic left lateral rectus muscle, which was hyperintense on T2 weighting, consistent with denervation. Although the mechanism of the nerve palsy remains unclear, it is suspected to be related to his viral illness, because the patient had no preexisting vascular risk factors or evidence of other neurologic disease on neuroimaging. Cranial nerve palsies may represent part of the neurologic spectrum of COVID-19.

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