• Internal medicine · Jan 2022

    Review Case Reports

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

    • Takafumi Kubota, Naoto Sugeno, Hirohito Sano, Koji Murakami, Kensuke Ikeda, Tatsuro Misu, and Masashi Aoki.
    • Department of Neurology, Tohoku University Graduate School of Medicine, Japan.
    • Intern. Med. 2022 Jan 1; 61 (11): 176117651761-1765.

    AbstractCranial 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 onset. Neurological examination revealed limitation of left eye abduction without ataxia and hyporeflexia. Negative 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.

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