Acute abducens nerve palsy following coronavirus disease 2019 vaccination: a case report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Medical Case Reports Pub Date : 2024-08-06 DOI:10.1186/s13256-024-04681-2
Chen-Ting Wang, Jie-Yuan Li
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Abstract

Background: Abducens nerve palsy is the most common isolated ocular cranial nerve palsy. In adults, nontraumatic etiologies of isolated sixth cranial nerve palsy can include vascular disease, inflammation, tumors, and a prior history of infection.

Case presentation: We present a case of a 52-year-old Asian male who developed acute abducens nerve palsy after vaccination with the AstraZeneca coronavirus disease 2019 vaccine. A complete workup including magnetic resonance imaging of the brain and orbits revealed no abnormalities. The patient experienced a gradual recovery over 10 weeks through alternative eye patching. The abducens nerve palsy is postulated to be correlated with the coronavirus disease 2019 vaccine.

Conclusion: Despite the recognized efficacy and cost benefits of coronavirus disease 2019 vaccines, clinicians should be aware of the possible association between cranial nerve palsies and coronavirus disease 2019 vaccines.

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2019 年冠状病毒病疫苗接种后出现急性外展神经麻痹:病例报告。
背景:视神经麻痹是最常见的孤立性眼颅神经麻痹。成人孤立性第六颅神经麻痹的非创伤性病因包括血管疾病、炎症、肿瘤和既往感染史:我们介绍了一例 52 岁的亚洲男性病例,他在接种阿斯利康 2019 年冠状病毒病疫苗后出现急性外展神经麻痹。包括脑部和眼眶磁共振成像在内的全面检查未发现异常。通过替代性眼罩,患者在 10 周内逐渐康复。据推测,外展神经麻痹与 2019 年冠状病毒病疫苗有关:结论:尽管冠状病毒病 2019 疫苗的疗效和成本效益已得到认可,但临床医生仍应注意颅神经麻痹与冠状病毒病 2019 疫苗之间可能存在的关联。
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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