An overview of third, fourth and sixth cranial nerve palsies in the setting of COVID-19: A case report and systematic review.
Medicine (Baltimore)
; 101(49): e32023, 2022 Dec 09.
Article
em En
| MEDLINE
| ID: mdl-36626529
ABSTRACT
BACKGROUND:
Covid-19 has serious sequelae that may be poorly understood, underreported, and, as a result, not diagnosed promptly, such as variations in clinical manifestations of hyperinflammation among people infected with SARS-CoV-2. ophthalmoplegia can be one of these manifestations.METHODS:
We are reporting a 55-year-old male patient with unilateral diplopia considering it as a case of multisystem inflammatory syndrome in adults. We also reviewed the literature systematically for the previously reported studies/cases with third, fourth and sixth cranial nerve palsies due to or after Covid-19.RESULTS:
The literature search yielded 17 studies reporting 29 patients. 71.4% of the patients were males with a mean age of 42.23 years. Ophthalmological symptoms took 9.7 days to appear after the respiratory involvement. All patients had diplopia as part of their visual symptoms. 41.4% of the patients had unilateral sixth nerve palsy, 24% had bilateral sixth nerve involvement, 17% had fourth nerve involvement, and 27.6% had third nerve involvement.CONCLUSION:
Ophthalmoplegia is considered presenting symptom of Covid-19. Further research is needed to detect all neuro-ophthalmological manifestations of Covid-19.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças do Nervo Oculomotor
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Oftalmoplegia
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Doenças dos Nervos Cranianos
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Doenças do Nervo Abducente
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COVID-19
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Overview
/
Systematic_reviews
Limite:
Adult
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article