EC Ophthalmology

Case Report Volume 14 Issue 7 - 2023

Oculomotor Nerve Palsy in an Asymptomatic Child with SARS-CoV-2 Virus Infection

Paulo de Tarso Ponte Pierre-Filho1* and Lucas Linhares Pierre2

1Department of Ophthalmology, Pierre Ophthalmology Clinic, Brazil
2 School of Medicine, Uninta, Brazil

*Corresponding Author: Paulo de Tarso Ponte Pierre-Filho, Department of Ophthalmology, Pierre Ophthalmology Clinic, Brazil.
Received: June 12, 2023; Published: June 29, 2023

Neuro-ophthalmological complications of coronavirus disease 2019 (COVID-19) are being increasingly recognized. We report the case of a 10-year-old girl with acute onset diplopia and ptosis in the left eye. She was subsequently diagnosed with COVID-19 and complete oculomotor nerve palsy. She did not present any respiratory or specific neurological findings. Orbital and brain magnetic resonance imaging were unremarkable. The patient was managed conservatively with remission of palsy. COVID-19 should be suspected among children presenting with ocular nerve palsy, even in those without typical symptoms of disease.

Keywords: Oculomotor Nerve Palsy; Diplopia; Coronavirus; COVID-19; SARS-CoV-2; Case Report

  1. WHO Coronavirus (COVID-19) Dashboard. Geneva: World Health Organization (2022).
  2. Luís ME., et al. “A review of neuro-ophthalmological manifestations of human coronavirus infection”. Eye Brain 12 (2020): 129-137.
  3. Gürlevik SL., et al. “Neurologic manifestations in children with COVID-19 from a tertiary center in Turkey and literature review”. European Journal of Paediatric Neurology 37 (2022): 139-154.
  4. De Oliveira MR., et al. “Oculomotor nerve palsy in an asymptomatic child with COVID-19”. Journal of AAPOS3 (2021): 169-170.
  5. Elenga N., et al. “Unilateral diplopia and ptosis in a chid with COVID-19 revealing third cranial nerve palsy”. Journal of Infection and Public Health9 (2021): 1198-1200.
  6. Dinkin M., et al. “COVID-19 presenting with ophthalmoparesis from cranial nerve palsy”. Neurology5 (2020): 221-223.
  7. Vonck K., et al. “Neurologic manifestations and neuro-invasive mechanisms of the severe acute respiratory syndrome coronavirus type 2”. European Journal of Neurology8 (2020): 1578-1587.
  8. Ng YSP and Lyons CJ. “Oculomotor nerve palsy in childhood”. Canadian Ophthalmological Society5 (2005): 645-653.
  9. Kremer S., et al. “Neurologic and neuroimaging findings in patients with COVID-19: a retrospective multicenter study-a retrospective multicenter study”. Neurology13 (2020): e1868-e1882.
  10. Espíndola OM., et al. “Cerebrospinal fluid findings in neurological diseases associated with COVID-19 and insights into mechanisms of disease development”. The International Journal of Infectious Diseases 102 (2021): 155-162.
  11. Costa ALFA., et al. “Third cranial nerve palsy after a Chikungunya infection”. Strabismus4 (2017): 172-175.
  12. Biswas NM and Pal S. “Oculomotor nerve palsy in dengue encephalitis - a rare presentation”. Indian Journal of Medical Research6 (2014): 793-794.
  13. Harthan JS and Borgman CJ. “Herpes zoster ophthalmicus - induced oculomotor nerve palsy”. Journal of Optometry1 (2013): 60-65.
  14. Finsterer J., et al. “COVID-19 associated cranial nerve neuropathy: A systematic review”. Bosnian Journal of Basic Medical Sciences1 (2022): 39-45.

Paulo de Tarso Ponte Pierre-Filho and Lucas Linhares Pierre. Oculomotor Nerve Palsy in an Asymptomatic Child with SARS-CoV-2 Virus Infection. EC Ophthalmology 14.7 (2023): 01-04.