AN UNCOMMON CLINICAL CASE: UNILATERAL THIRD CRANIAL NERVE PALSY ASSOCIATED WITH DENGUE FEVER
Main Article Content
Abstract
Dengue fever which is caused by the Dengue virus and transmitted by mosquito bites is an acute infectious disease, posing a significant threat to public health. Viet Nam is one of the countries severely affected by the disease. The eye is one of the organs that can be affected by Dengue virus. We report an uncommon clinical case of unilateral isolated oculomotor nerve palsy associated with Dengue fever. A 63 year-old male patient was diagnosed having Dengue fever, developing a right eye oculomotor nerve palsy at 48th hour after the onset. Cerebral MRI has excluded some common causes of oculomotor nerve palsy such as cerebral infarction, cerebral hemorrhage, aneurysm and brain tumor. The patient was treated conservatively, symptomatically and completely recovered after 2 weeks. Cranial mononeuropathy may be one of the uncommon manifestations associated with Dengue fever, which needs to be distinguished from other acute causes of cranial nerve palsy. The prognosis is normally favorable and treatment with steroids or immunoglobulins is not required
Article Details
Keywords
Dengue fever, Dengue-associated cranial neuropathy, cranial mononeuropathy, third cranial nerve palsy, oculomotor nerve palsy.
References
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