Acute abducens nerve palsy with acute disseminated encephalomyelitis-like presentation following COVID-19 vaccination.
Indian J Ophthalmol
; 71(5): 2279-2281, 2023 05.
Article
in English
| MEDLINE | ID: covidwho-2323961
ABSTRACT
We report two adult cases of abducens nerve palsy presenting immediately (within weeks) after they received the first dose of Covishield vaccination. Magnetic resonance imaging (MRI) of the brain obtained after the onset of diplopia demonstrated demyelinating changes. The patients had associated systemic symptoms. Post-vaccination demyelination typically known as acute disseminated encephalomyelitis (ADEM) associated with several vaccines is more common in children. Although the mechanism of the nerve palsy remains unclear, it is suspected to be related to the post-vaccine neuroinflammatory syndrome. Cranial nerve palsies and ADEM-like presentations may represent part of the neurologic spectrum following COVID-vaccination in adults, and ophthalmologists should be aware of these sequelae. Although cases of sixth nerve palsy following COVID vaccination are already reported, associated MRI changes have not been reported from India.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Abducens Nerve Diseases
/
Encephalomyelitis, Acute Disseminated
/
COVID-19
Type of study:
Case report
Topics:
Long Covid
/
Vaccines
Limits:
Adult
/
Child
/
Humans
Language:
English
Journal:
Indian J Ophthalmol
Year:
2023
Document Type:
Article
Affiliation country:
Ijo.IJO_1778_22
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