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A Murine Model of Dengue Virus-induced Acute Viral Encephalitis-like Disease

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Isolated Oculomotor Neuritis After Dengue Fever.

Manjushree Bhate¹, Sandeep Ponnaganti

¹Strabismus, Pediatric and Neuro-Ophthalmology Services (MB), Jasti V Ramanamma Children's Eye Care Centre, L. V. Prasad Eye Institute, Hyderabad, India; and Department of Neuroradiology (SP), Citi Neuro Centre, Hyderabad, India .

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society

|April 19, 2021

Summary

This study details a rare case of isolated partial left third cranial nerve palsy, identified as oculomotor neuritis, following dengue fever. Unique neuro-imaging revealed enhancement along the entire oculomotor nerve course.

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Area of Science:

Neurology
Infectious Diseases
Ophthalmology

Background:

Dengue fever can present with diverse neurological complications.
Oculomotor nerve palsy is an uncommon sequela of dengue infection.

Observation:

A rare case of isolated partial left third cranial nerve palsy was observed.
The palsy was attributed to inflammatory oculomotor neuritis.
The condition occurred subsequent to a dengue fever infection.

Findings:

Unique neuro-imaging findings were documented.
Enhancement was observed along the entire course of the left oculomotor nerve on imaging.
This pattern suggests extensive inflammatory involvement of the nerve.

Implications:

This case expands the spectrum of neurological manifestations of dengue fever.
It highlights the importance of considering oculomotor neuritis in patients with cranial nerve palsies post-dengue.
The imaging findings provide insights into the pathophysiology of dengue-associated oculomotor nerve dysfunction.