Departamento de Oftalmología, Hospital Universitario de Guadalajara, Guadalajara, España.
Departamento de Cirugía, Ciencias Médicas y Sociales, Universidad de Alcalá, Alcalá de Henares, Madrid, España.
Arch Soc Esp Oftalmol (Engl Ed). 2021 Apr;96(4):224-226. doi: 10.1016/j.oftal.2020.09.008. Epub 2020 Nov 6.
This case reports a 20-year-old female patient who was in northern Italy when the state of emergency was declared on the 31st of January 2020, developing 15days after return to Spain upper respiratory symptoms characterized by fever, headache and anosmia that was treated as sinusitis. Three weeks later presented with dizziness and an intermittent horizontal nystagmus with rotatory component. Otorhinolaryngology and neurological examination including MRI were normal. COVID-19 IgG antibodies where positive. In the context of the ongoing pandemic, and associating the symptoms with positive IgG antibodies, we can consider the infection of SARS-CoV-2 as a probable cause of the acquired nystagmus.
本病例报告了一名 20 岁女性患者,她于 2020 年 1 月 31 日意大利宣布进入紧急状态时身处意大利北部,返回西班牙 15 天后出现上呼吸道症状,表现为发热、头痛和嗅觉丧失,被诊断为鼻窦炎。3 周后出现头晕和间歇性水平眼球震颤伴旋转成分。耳鼻喉科和神经科检查包括 MRI 均正常。COVID-19 IgG 抗体阳性。在当前大流行的背景下,结合 IgG 抗体阳性的症状,我们可以认为 SARS-CoV-2 感染是获得性眼球震颤的可能原因。