Acute Abducens Nerve Palsy after COVID-19 in a Patient with Diabetes Mellitus

Year 2022, Volume: 9 Issue: 2, 73 - 77, 31.08.2022

Hasan Burhanettin Kaptı Burak Erdem

Abstract

Sars-Cov-2 infection, which mostly affects the respiratory tract, can also impact the nervous system. Occlusive vascular disorders, Miller Fisher Syndrome and cranial nerve palsy are more common due to coronavirus disease-19 (COVID-19). Microvascular peripheral nerve injury is the most common cause of abducens nerve palsy, which recovers spontaneously over time. One of the most common risk factors for microvascular ischemic 6th nerve palsy is diabetes mellitus (DM). The presence of COVD-19 and diabetes is associated with a higher risk of thromboembolic events. A case of abducens nerve palsy in a 55-year-old diabetic patient with COVID-19 is presented

Keywords

COVİD-19, diabetes mellitus, nerve palsy

References

• 1. Gutiérrez-Ortiz C, Méndez-Guerrero A, Rodrigo-Rey S, San Pedro-Murillo E, Bermejo-Guerrero L, Gordo-Mañas R, et al. Miller Fisher syndrome and polyneuritis cranialis in COVID-19. Neurology. 2020; 95: e601-e605.
• 2. Dinkin M, Gao V, Kahan J, Bobker S, Simonetto M, Wechsler P, et al. COVID-19 presenting with ophthalmoparesis from cranial nerve palsy. Neurology. 2020; 95: 221-223.
• 3. Larochelle R, Koduri V, Chen R, Subramanian PS. Embolic abducens palsy and central retinal artery occlusion in a patient with COVID-19. J Neuroophthalmol 2021; 30.
• 4. Falcone MM, Rong AJ, Salazar H, Redick DW, Falcone S, Cavuoto KM. Acute abducens nerve palsy in a patient with the novel coronavirus disease (COVID-19). J AAPOS. 2020; 24: 216-217.
• 5. Chi SL, Bhatti MT. The of neuro-imaging in acute isolated sixth nerve palsy. Curr Opin Ophthalmol. 2009; 20: 423-429.
• 6. Vasanthapuram VH, Badakere A. Internuclear ophthalmoplegia as a presenting feature in a COVID-19-positive patient. BMJ Case Rep. 2021; 14: 241873
• 7. Chou KL, Galetta SL, Liu GT, Volpe NJ, Bennett JL, Asbury AK, et al. Acute ocular motor mononeuropathies: prospective study of the roles of neuroimaging and clinical assessment. J Neurol Sci. 2004; 219: 35-39.
• 8. Brouwer MC, Ascione T, Pagliano P. Neurologic aspects of covid-19: a concise review. Infez Med 2020; 28: 42-45.
• 9. Greer CE, Bhatt JM, Oliveira CA, Dinkin MJ. Isolated Cranial Nerve 6 Palsy in 6 Patients With COVID-19 Infection. J Neuroophthalmol. 2020; 40: 520-522.
• 10. Kubota T, Sugeno N, Sano H, Murakami K, Ikeda K, Misu T, et al. The Immediate Onset of Isolated and Unilateral Abducens Nerve Palsy Associated with COVID-19 Infection: A Case Report and Literature Review. Intern Med. 2022; 61: 1761-1765.