| 발표일자: |
2018년 11월 2일(금) ~ 11월 4(일) |
| 발표번호: |
P(e-poster)-423 |
| 발표장소: |
코엑스 컨퍼런스룸 3층 301 A-B |
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| Diplopia and Dengue; An Isolated Abducens Nerve Palsy in a Child with a Dengue Fever: A case report and review of literature |
| Department of Ophthalmology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, MALAYSIA |
| Aliff Irwan Cheong(1), Subrayan Visvaraja(1) |
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Purpose : To report a rare case of isolated abducens nerve palsy in a child with dengue fever.
Methods : Case report and database search through MEDLINE, EMBASE and PubMed
Results : Ophthalmic manifestation of dengue infection is common with increasing number of cases reported, however cranial nerve involvement associated with dengue fever is rare and in pediatric group are unheard off. Pathophysiology of dengue associated ophthalmic complications is still poorly understood but could be immune mediated. The presenting visual signs and symptoms are usually of delayed onset. Commonly reported ophthalmic manifestation include petechial haemorrhages, anterior uveitis, vitreous haemorrhage, Roth spots, cotton wool spots and maculopathy. Less common ones include optic neuropathy and cranial neuropathy. Most common cranial nerves involved were the oculomotor and facial nerves in the adult population. Only a few cases of abducens nerve palsy have been reported and that too only in adults. Neurological manifestations that have been reported in the pediatric population suffering from dengue infection were seizures, encephalopathy, acute disseminated encephalomyelitis, and Guillain-Barre syndrome. No cranial nerve palsies have been reported in this age group as far as our search in this database.
Conclusion : Neuro-ophthalmological complications in dengue infection will become increasingly important as the dengue epidemics continue to rapidly occur and affect all age groups. With the clinical manifestations being so diverse, it is important that the treating physicians be aware of the rare ones such as isolated abducens nerve palsy especially in the pediatric population.
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