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COVID-19 and abducens nerve palsy in a 9-year-old girl—case report

Authors
  • Capponi, Martina
  • Cinicola, Bianca Laura
  • Brindisi, Giulia
  • Guido, Cristiana Alessia
  • Torcé, Maria Cristina
  • Zicari, Anna Maria
  • Spalice, Alberto
Type
Published Article
Journal
Italian Journal of Pediatrics
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jun 18, 2022
Volume
48
Identifiers
DOI: 10.1186/s13052-022-01298-3
PMID: 35717391
PMCID: PMC9206130
Source
PubMed Central
Keywords
Disciplines
  • Case Report
License
Unknown

Abstract

Background Coronavirus disease 2019 (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Although many reports have detailed a range of neurological symptoms in SARS-CoV-2-infected patients, studies of neuro-ophthalmological manifestations are still scarce. Case presentation We report a 9-year-old girl with abducens nerve palsy after COVID-19 with no evidence of other neurological disease on neuroimaging. At 2-month follow-up clinical conditions were improved. Conclusions The palsy may have occurred due to a possible post-infectious immune-mediated mechanism underlying the neuropathy, as opposed to direct viral infiltration. Despite being rare, this complication must be taken into account.

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