Paralytic squint due to abducens nerve palsy : a rare consequence of dengue fever

BMC Infectious Diseases

Case Report

Lakmal KGK Gamagedara¹  Bandula C Wijesiriwardena¹  Mitrakrishnan C Shivanthan¹  Kalum C Somaratna¹  Eranda C Ratnayake¹ 

[1] Wards 45 & 46 A, National Hospital of Sri Lanka, Regent Street, Hospital Square, Colombo, Sri Lanka;

关键词: Dengue fever;    Squint;    Abducens palsy;   

DOI  :  10.1186/1471-2334-12-156

 received in 2011-07-18, accepted in 2012-06-28,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundDengue fever is an endemic illness in the tropics with early and post infectious complications affecting multiple systems. Though neurological sequelae including mononeuropathy, encephalopathy, transverse myelitis, polyradiculopathy, Guillain-Barre syndrome , optic neuropathy and oculomotor neuropathy have been reported in medical literature, the abducens nerve despite its notoriety in cranial neuropathies in a multitude of condition due to its long intracranial course had not been to date reported to manifest with lateral rectus paralysis following dengue.Case presentationA previously well 29 year old male with serologically confirmed dengue hemorrhagic fever developed symptomatic right lateral rectus palsy during the critical phase of the illness, which persisted into convalescence and post convalescence with proven deficit on Hess screen. Alternate etiologies were excluded by imaging, serology and electrophysiology.ConclusionsThe authors detail the first reported case of abducens nerve palsy complicating dengue fever in a previously healthy male from Sri Lanka. In a tropical country with endemic dengue infections, dengue related abducens neuropathy may be considered as a differential diagnosis in cases of acquired lateral rectus palsy after dengue fever.

【 授权许可】

CC BY   
© Shivanthan et al.; licensee BioMed Central Ltd. 2012