新冠病毒 2019 疫苗接种后急性外展神经麻痹：病例报告。
Acute abducens nerve palsy following coronavirus disease 2019 vaccination: a case report.
机构信息
Department of Neurology, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan.
出版信息
J Med Case Rep. 2024 Aug 6;18(1):364. doi: 10.1186/s13256-024-04681-2.
BACKGROUND
Abducens nerve palsy is the most common isolated ocular cranial nerve palsy. In adults, nontraumatic etiologies of isolated sixth cranial nerve palsy can include vascular disease, inflammation, tumors, and a prior history of infection.
CASE PRESENTATION
We present a case of a 52-year-old Asian male who developed acute abducens nerve palsy after vaccination with the AstraZeneca coronavirus disease 2019 vaccine. A complete workup including magnetic resonance imaging of the brain and orbits revealed no abnormalities. The patient experienced a gradual recovery over 10 weeks through alternative eye patching. The abducens nerve palsy is postulated to be correlated with the coronavirus disease 2019 vaccine.
CONCLUSION
Despite the recognized efficacy and cost benefits of coronavirus disease 2019 vaccines, clinicians should be aware of the possible association between cranial nerve palsies and coronavirus disease 2019 vaccines.
背景
展神经麻痹是最常见的孤立性眼颅神经麻痹。在成人中，孤立性第六颅神经麻痹的非创伤性病因包括血管疾病、炎症、肿瘤和先前的感染史。
病例介绍
我们报告了一例 52 岁亚洲男性的病例，他在接种阿斯利康 2019 年冠状病毒病疫苗后出现急性展神经麻痹。全面检查包括脑和眼眶的磁共振成像，未发现异常。患者通过交替眼罩治疗，在 10 周内逐渐恢复。展神经麻痹被认为与 2019 年冠状病毒病疫苗有关。
结论
尽管 2019 年冠状病毒病疫苗具有公认的疗效和成本效益，但临床医生应意识到颅神经麻痹与 2019 年冠状病毒病疫苗之间可能存在关联。
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