A rare case of cranial nerve palsy in a COVID positive patient-Reported
Sarah Belghmaidi and colleagues from the Ophthalmology Department at the Mohammed VI University Hospital Center, Marrakesh Medical and Pharmacy Faculty, Caddy Ayad University, Marrakesh, Morocco reported a rare occurrence of an incomplete palsy of the third cranial nerve in a patient affected with the SARS-CoV-2 virus infection.
The case study was published in the American Journal of Case Reports.
Coronavirus disease (COVID 19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and is the causative agent of a serious disease that is of great global public health concern. Ophthalmological manifestations of COVID-19 are rare compared with the typical clinical features, which include fever, dry cough, shortness of breath, myalgia, and fatigue, which are seen in most COVID-19 pneumonia patients. Therefore, palsy of the third cranial nerve is also very rare in patients with confirmed 2019 novel coronavirus disease (COVID-19). As a result, the authors described the following case of a patient with an incomplete palsy of the left third cranial nerve sparing the pupils in the context of SARS-CoV-2 virus infection.
The authors studied a 24-year-old women who reported with confirmed COVID-19. The patient presented with acute onset of diplopia and strabismus of the left eye that occurred 3 days after the start of general symptoms. She had no previous medical history. A detailed ophthalmic and neurological examination was carried out only to suspect an acute painless incomplete palsy of the third cranial nerve.
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