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

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 sti...

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Published in:Italian journal of pediatrics 2022-06, Vol.48 (1), p.1-102, Article 102
Main Authors: Capponi, Martina, Cinicola, Bianca Laura, Brindisi, Giulia, Guido, Cristiana Alessia, Torcé, Maria Cristina, Zicari, Anna Maria, Spalice, Alberto
Format: Article
Language:English
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Summary: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.
ISSN:1824-7288
1720-8424
1824-7288
DOI:10.1186/s13052-022-01298-3