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suck abstract from ncbi


10.1007/s13365-020-00909-1

http://scihub22266oqcxt.onion/10.1007/s13365-020-00909-1
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32910433!7482369!32910433
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suck abstract from ncbi

pmid32910433      J+Neurovirol 2020 ; 26 (6): 970-972
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  • Concurrent tonic pupil and trochlear nerve palsy in COVID-19 #MMPMID32910433
  • Ordas CM; Villacieros-Alvarez J; Pastor-Vivas AI; Corrales-Benitez A
  • J Neurovirol 2020[Dec]; 26 (6): 970-972 PMID32910433show ga
  • Since COVID-19 was first reported, different neurological complications have been acknowledged, but their description is constantly evolving. We report a case of concurrent tonic pupil and trochlear nerve palsy in this context. A 62-year-old man reported a 5-day history of binocular vertical diplopia and blurred vision in his left eye, noticing that his left pupil was dilated. He had suffered a flu-like syndrome 2 weeks before. Clinical exam showed a right trochlear nerve palsy and a left mydriatic pupil. MRI, X chest ray, and analytical results were normal. Antibodies for SARS-CoV-2 were positive (low IgM and high IgG titers). Antiganglioside antibodies were negative. A 0.125% pilocarpine test confirmed Adie's pupil diagnosis. The patient was treated with a tapered prednisone dose with resolution of his diplopia but no change in Adie's pupil. This is the first case reporting Adie's pupil as a postinfectious manifestation of COVID-19. An immune-mediated mechanism is presumed.
  • |Anti-Inflammatory Agents/therapeutic use[MESH]
  • |COVID-19/*complications[MESH]
  • |Diplopia/drug therapy/virology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prednisone/therapeutic use[MESH]
  • |SARS-CoV-2[MESH]
  • |Tonic Pupil/drug therapy/*virology[MESH]


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