Magurano F, Zammarchi L, Baggieri M, Fortuna C, Farese A, Benedetti E, Fiorentini C, Rezza G, Nicoletti L, Bartoloni A, 2015. Chikungunya from the Caribbean: the importance of appropriate laboratory tests to confirm the diagnosis. Vector Borne Zoonotic Dis 15: 258–260.
Goldstein JE, Cogan DG, 1960. Diabetic ophthalmoplegia with special reference to the pupil. Arch Ophthalmol 64: 592–600.
Bruce BB, Biousse V, Newman NJ, 2007. Third nerve palsies. Semin Neurol 27: 257–268.
Meireles J, Garrett MC, Abreu P, 2014. Isolated III cranial nerve palsy: a Hodgkin's lymphoma? BMJ Case Rep. Published online April 23, 2014.
Thurtell MJ, Longmuir RA, 2014. Third nerve palsy as the initial manifestation of giant cell arteritis. J Neuroophthalmol 34: 243–245.
Chandak NH, Kashyap RS, Kabra D, Karandikar P, Saha SS, Morey SH, Purohit HJ, Taori GM, Daginawala HF, 2009. Neurological complications of chikungunya virus infection. Neurol India 57: 177–180.
Cultrera F, D'Andrea M, Battaglia R, Chieregato A, 2009. Unilateral oculomotor nerve palsy: unusual sign of hydrocephalus. J Neurosurg Sci 53: 67–70.
Lalitha P, Rathinam S, Banushree K, Maheshkumar S, Vijayakumar R, Sathe P, 2007. Ocular involvement associated with an epidemic outbreak of chikungunya virus infection. Am J Ophthalmol 144: 552–556.
Das T, Jaffar-Bandjee MC, Hoarau JJ, Krejbich Trotot P, Denizot M, Lee-Pat-Yuen G, Sahoo R, Guiraud P, Ramful D, Robin S, Alessandri JL, Gauzere BA, Gasque P, 2010. Chikungunya fever: CNS infection and pathologies of a re-emerging arbovirus. Prog Neurobiol 91: 121–129.
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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.
Authors' addresses: Réda Benzekri, Rabih Hage, and Harold Merle, Ophthalmology Department, Martinique University Hospital, Martinique, France (French West Indies), E-mails: reda.benzekri@gmail.com, rabih.hage@chu-fortdefrance.fr, and harold.merle@chu-fortdefrance.fr.
Magurano F, Zammarchi L, Baggieri M, Fortuna C, Farese A, Benedetti E, Fiorentini C, Rezza G, Nicoletti L, Bartoloni A, 2015. Chikungunya from the Caribbean: the importance of appropriate laboratory tests to confirm the diagnosis. Vector Borne Zoonotic Dis 15: 258–260.
Goldstein JE, Cogan DG, 1960. Diabetic ophthalmoplegia with special reference to the pupil. Arch Ophthalmol 64: 592–600.
Bruce BB, Biousse V, Newman NJ, 2007. Third nerve palsies. Semin Neurol 27: 257–268.
Meireles J, Garrett MC, Abreu P, 2014. Isolated III cranial nerve palsy: a Hodgkin's lymphoma? BMJ Case Rep. Published online April 23, 2014.
Thurtell MJ, Longmuir RA, 2014. Third nerve palsy as the initial manifestation of giant cell arteritis. J Neuroophthalmol 34: 243–245.
Chandak NH, Kashyap RS, Kabra D, Karandikar P, Saha SS, Morey SH, Purohit HJ, Taori GM, Daginawala HF, 2009. Neurological complications of chikungunya virus infection. Neurol India 57: 177–180.
Cultrera F, D'Andrea M, Battaglia R, Chieregato A, 2009. Unilateral oculomotor nerve palsy: unusual sign of hydrocephalus. J Neurosurg Sci 53: 67–70.
Lalitha P, Rathinam S, Banushree K, Maheshkumar S, Vijayakumar R, Sathe P, 2007. Ocular involvement associated with an epidemic outbreak of chikungunya virus infection. Am J Ophthalmol 144: 552–556.
Das T, Jaffar-Bandjee MC, Hoarau JJ, Krejbich Trotot P, Denizot M, Lee-Pat-Yuen G, Sahoo R, Guiraud P, Ramful D, Robin S, Alessandri JL, Gauzere BA, Gasque P, 2010. Chikungunya fever: CNS infection and pathologies of a re-emerging arbovirus. Prog Neurobiol 91: 121–129.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 19 | 19 | 7 |
Full Text Views | 289 | 82 | 1 |
PDF Downloads | 63 | 10 | 0 |