Third Cranial Nerve Palsy after a Chikungunya Virus Infection

Strabismus. 2017 Dec;25(4):172-175. doi: 10.1080/09273972.2017.1391851. Epub 2017 Nov 14.

Abstract

Chikungunya fever is a disease caused by a virus from the same family as dengue and Zika. It is endemic in several parts of the world and has recently spread to Latin America. We report the case of a patient, aged 58 years, from Rio de Janeiro, Brazil, who in 2013 developed an acute bilateral third cranial nerve palsy sparing the pupil. After extensive investigation, it was diagnosed as caused by chikungunya infection. The patient was treated with pulse therapy and after 5 months of the onset of the condition, the patient showed improvement.

Keywords: Chikungunya; strabismus; third nerve palsy.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Viral / blood
  • Chikungunya Fever / complications*
  • Chikungunya Fever / diagnosis
  • Chikungunya Fever / drug therapy
  • Chikungunya virus / immunology
  • Chikungunya virus / isolation & purification*
  • Eye Infections, Viral / diagnosis
  • Eye Infections, Viral / drug therapy
  • Eye Infections, Viral / etiology*
  • Female
  • Glucocorticoids / administration & dosage
  • Humans
  • Immunoenzyme Techniques
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Magnetic Resonance Imaging
  • Middle Aged
  • Oculomotor Muscles / diagnostic imaging
  • Oculomotor Nerve Diseases / diagnosis
  • Oculomotor Nerve Diseases / drug therapy
  • Oculomotor Nerve Diseases / etiology*
  • Pulse Therapy, Drug
  • Strabismus / diagnosis
  • Strabismus / drug therapy
  • Strabismus / etiology*

Substances

  • Antibodies, Viral
  • Glucocorticoids
  • Immunoglobulin G
  • Immunoglobulin M