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Third Cranial Nerve Palsy after a Chikungunya Virus Infection
Ana Luiza Fontes de Azevedo Costa1, Thiago Gonçalves Dos Santos Martins1, Diogo Gonçalves Dos Santos Martins2
1a Ophthalmology department, Federal University of São Paulo , São Paulo, Brazil.
Abstract:
Chikungunya fever is a disease caused by a virus from the same family as dengue and Zika. It is endemic in several parts of the world and has recently spread to Latin America. We report the case of a patient, aged 58 years, from Rio de Janeiro, Brazil, who in 2013 developed an acute bilateral third cranial nerve palsy sparing the pupil. After extensive investigation, it was diagnosed as caused by chikungunya infection. The patient was treated with pulse therapy and after 5 months of the onset of the condition, the patient showed improvement.
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