Meningoencephalitis associated with Third Cranial Nerve Palsy by SARS-CoV-2: Report of a Case

Ana L Tapia-Álvarez; Othón Gittins-Núñez; Alejandro Flores-Trejo; Patricia A Dominguez-Álvarez

doi:10.5005/rmo-11013-0063

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Meningoencephalitis associated with Third Cranial Nerve Palsy by SARS-CoV-2: Report of a Case

Ana L Tapia-Álvarez, Othón Gittins-Núñez, Alejandro Flores-Trejo, Patricia A Dominguez-Álvarez

Keywords : Infection, Meningoencephalitis, Neuritis, Paralysis, RT-PCR, SARS-CoV-2

Citation Information : Tapia-Álvarez AL, Gittins-Núñez O, Flores-Trejo A, Dominguez-Álvarez PA. Meningoencephalitis associated with Third Cranial Nerve Palsy by SARS-CoV-2: Report of a Case. 2023; 97 (5E):130-133.

DOI: 10.5005/rmo-11013-0063

License: CC BY-NC-ND 4.0

Published Online: 27-03-2024

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Abstract

Objective: To inform the ophthalmologist of the importance of ruling out the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in the current context of this pandemic, in a patient with neuro-ophthalmological symptoms without respiratory compromise. Observation: 41-year-old male presented to the ophthalmologist for palsy of the III and IV cranial nerves and anterior optic neuritis of the left eye. A Polymerase Chain Reaction (PCR) test was requested for SARS-CoV-2 being positive. Conclusions: Neuro-ophthalmological involvement in a patient with SARS-CoV-2 infection is an alarm data for a severe course of the disease, diagnosing it in the absence of respiratory symptoms is a diagnostic challenge, we must carry out a careful questioning about a recent history of respiratory symptoms or fever, and perform RT-PCR for SARS-CoV-2, avoid delays in its diagnosis, will improve the prognosis of life of the patient.

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