Third Cranial Nerve Palsy in the Setting of Chikungunya Virus Infection

Am J Trop Med Hyg. 2016 Jul 6;95(1):180-1. doi: 10.4269/ajtmh.15-0547. Epub 2016 May 31.

Abstract

We report the case of a 62-year-old patient who developed an acute painless isolated left third cranial nerve palsy sparing the pupil in the setting of an acute chikungunya infection. The patient had no significant medical history. Specifically, he had no vascular risk factors. Ocular involvement in chikungunya fever is uncommon. The potential virus- and infection-related mechanisms of this third cranial nerve palsy are discussed.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aspirin / therapeutic use
  • Caribbean Region
  • Chikungunya Fever / diagnosis
  • Chikungunya Fever / drug therapy
  • Chikungunya Fever / virology*
  • Cranial Nerve Diseases / diagnosis
  • Cranial Nerve Diseases / drug therapy
  • Cranial Nerve Diseases / virology*
  • Follow-Up Studies
  • Humans
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Male
  • Middle Aged
  • Oculomotor Nerve / drug effects
  • Oculomotor Nerve / virology*
  • Oculomotor Nerve Diseases / diagnosis
  • Oculomotor Nerve Diseases / drug therapy
  • Oculomotor Nerve Diseases / virology
  • Risk Factors

Substances

  • Immunoglobulin G
  • Immunoglobulin M
  • Aspirin