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Ocular flutter following Zika virus infection
Emely Karam1, Jose Giraldo2, Flor Rodriguez3
1Department of Ophtalmology, Centro Médico Docente La Trinidad, Caracas, Venezuela.
Journal of Neurovirology
|November 18, 2017
Summary
Zika virus infection can cause rare neurological issues. This case highlights ocular flutter and Guillain-Barré syndrome following Zika virus, suggesting a potential link for physicians to consider.
Area of Science:
- Neurology
- Infectious Diseases
- Ophthalmology
Background:
- Zika virus (ZIKV), an emerging flavivirus, is associated with neurological conditions like Guillain-Barré syndrome (GBS).
- Ophthalmologic manifestations of ZIKV are increasingly recognized, but ocular dyskinesias have not been previously described.
Observation:
- A 22-year-old female presented with acute ZIKV infection.
- The patient exhibited ocular flutter and was diagnosed with Guillain-Barré syndrome.
Findings:
- This is the first reported case associating ocular flutter, GBS, and ZIKV infection.
- The symptoms may stem from direct viral damage or a post-infectious autoimmune response.
Implications:
- Physicians should consider ZIKV and other flaviviruses in the differential diagnosis for patients presenting with ocular flutter/opsoclonus.
- Prompt diagnosis and consideration of infectious etiologies are crucial for managing these rare neurological presentations.
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