Paromita Dutta1, Ankita Sharma2. 1. Chacha Nehru Bal Chikitsalaya, Room 228, Geeta Colony, Delhi, 110031, India. mitad.4@gmail.com. 2. Chacha Nehru Bal Chikitsalaya, Room 228, Geeta Colony, Delhi, 110031, India.
Abstract
PURPOSE: This study aims to report an unusual case of bilateral diffuse ophthalmoplegia with levator sparing, in a patient after an episode of Chikungunya fever. METHODS: Case report of a five-year-old girl with inability to move both eyes along with decreased near vision. RESULT AND CONCLUSION: Bilateral external ophthalmoplegia has been described as a part of the spectrum of ocular manifestations of this arbovirus-associated fever. This is the first report of its kind in a pediatric patient. In addition, there was evidence of internal ophthalmoplegia as well. Recognition of this rare clinical presentation can help avoid misdiagnosis as Guillain-Barré syndrome or its ocular variant, namely Miller Fisher Syndrome.
PURPOSE: This study aims to report an unusual case of bilateral diffuse ophthalmoplegia with levator sparing, in a patient after an episode of Chikungunya fever. METHODS: Case report of a five-year-old girl with inability to move both eyes along with decreased near vision. RESULT AND CONCLUSION: Bilateral external ophthalmoplegia has been described as a part of the spectrum of ocular manifestations of this arbovirus-associated fever. This is the first report of its kind in a pediatric patient. In addition, there was evidence of internal ophthalmoplegia as well. Recognition of this rare clinical presentation can help avoid misdiagnosis as Guillain-Barré syndrome or its ocular variant, namely Miller Fisher Syndrome.
Entities:
Keywords:
Chikungunya; Guillain–Barré syndrome; Miller Fisher Syndrome; Neurology; Ophthalmoplegia
Authors: Ravi Mehta; Patrick Gerardin; Carlos Alexandre Antunes de Brito; Cristiane Nascimento Soares; Maria Lucia Brito Ferreira; Tom Solomon Journal: Rev Med Virol Date: 2018-04-19 Impact factor: 6.989