• Users Online: 119
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2018  |  Volume : 5  |  Issue : 2  |  Page : 47-50

Lateral rectus paralysis: An emerging neuro-ophthalmic manifestation in dengue fever


1 Department of Ophthalmology, JSS Medical College and Hospital, JSS University, Mysore, Karnataka, India
2 Department of Medicine, JSS Medical College and Hospital, JSS University, Mysore, Karnataka, India

Correspondence Address:
Dr. Prabhakar Srinivasapuram Krishnacharya
Department of Ophthalmology, JSS Medical College and Hospital, JSS University, Mysore - 570 004, Karnataka
India
Login to access the Email id


DOI: 10.4103/bijo.bijo_7_18

Rights and Permissions

The purpose of presenting this case study is to find out the possible etiopathogenesis of lateral rectus (LR) palsy. A 17-year-old female patient presented with acute vomiting, diplopia, and bleeding per vagina for 3 days after 10 days of persistent fever. Restricted ocular movements in the right field of gaze suggested right LR paralysis, although diplopia charting performed by red and green glasses showed inconsistent results. Dilated fundoscopy examination revealed asymmetrical early papilledema. Reduced serum sodium levels less than 130 mEq/l with positive enzyme-linked immunosorbent assay NS1 antigen were found. Management included administration of intravenous fluids, inotropes, 20% mannitol, and 4 units of donor platelet transfusion. Symptomatic improvement with complete remission of diplopia was observed. This is the first case study that revealed the transient course of dengue-induced LR paralysis, the pathophysiology of which may possibly due to reduced serum sodium levels and/or raised intracranial pressure (ICP). The pathophysiology of raised ICP in dengue fever merits further research.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed953    
    Printed49    
    Emailed0    
    PDF Downloaded48    
    Comments [Add]    

Recommend this journal