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核间性眼肌麻痹作为 COVID-19 阳性患者的首发表现。

Internuclear ophthalmoplegia as a presenting feature in a COVID-19-positive patient.

机构信息

Ophthalmic Plastic Surgery Services, LV Prasad Eye Institute, Hyderabad, India.

Child Sight Institute, Jasti V Ramanamma Children's Eye Care Centre, LV Prasad Eye Institute, Hyderabad, India

出版信息

BMJ Case Rep. 2021 Apr 13;14(4):e241873. doi: 10.1136/bcr-2021-241873.

Abstract

A 58-year-old man presented with vertical diplopia for 10 days which was sudden in onset. Extraocular movement examination revealed findings suggestive of internuclear ophthalmoplegia. Investigations were suggestive of diabetes mellitus, and reverse transcription-PCR for SARS-CoV-2 was positive. At 3 weeks of follow-up, his diplopia had resolved. Neuro-ophthalmic manifestations in COVID-19 are increasingly being recognised around the world. Ophthalmoplegia due to cranial nerve palsy and cerebrovascular accident in COVID-19 has been reported. We report a case of internuclear ophthalmoplegia in a patient with COVID-19.

摘要

一位 58 岁男性,出现 10 天的垂直复视,发病突然。眼球运动检查发现符合核间眼肌麻痹的表现。检查提示糖尿病,逆转录聚合酶链反应(RT-PCR)检测 SARS-CoV-2 阳性。随访 3 周后,他的复视已缓解。在全球范围内,越来越多的人认识到 COVID-19 存在神经眼科表现。有报道 COVID-19 导致颅神经麻痹和脑血管意外的眼肌瘫痪。我们报告了一例 COVID-19 患者的核间眼肌麻痹病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0101/8051364/da2db8e92ef6/bcr-2021-241873f01.jpg

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