A Rare Case of Dengue Fever with Abducens Nerve Palsy
Pon Divya Bharathi *
Sree Balaji Medical College and Hospital, India.
P. Manimekalai
Sree Balaji Medical College and Hospital, India.
M. C. Vinatha
Sree Balaji Medical College and Hospital, India.
Pujari Lokchaitanya
Sree Balaji Medical College and Hospital, India.
Nandhyala Durga Venkata Sainadh
Sree Balaji Medical College and Hospital, India.
*Author to whom correspondence should be addressed.
Abstract
Dengue fever is one of the most common vector borne disease which is a viral infection transmitted by aedes mosquito. Most common in the tropical countries. Neurological manifestations are not commonly seen in dengue, it can present as encephalitis, encephalopathy, neuromuscular disorders and neuro-ocular disorders. Cranial mononeuropathy is a very exceptional manifestation. A 48-year-old Indian male was diagnosed with dengue, complicated with isolated unilateral sixth cranial nerve palsy. The patient was managed conservatively. Patient made a fast and full ocular recovery following treatment with methyl prednisolone. Hence, dengue can present with a cranial nerve palsy and the recovery process can be hasten with the use of corticosteroids.
Keywords: Dengue, cranial mononeuropathy, abducens nerve