A case of atypical ophthalmoplegia after Chikungunya fever

Abstract

Purpose: This study aims to report an unusual case of bilateral diffuse ophthalmoplegia with levator sparing, in a patient after an episode of Chikungunya fever.

Methods: Case report of a five-year-old girl with inability to move both eyes along with decreased near vision.

Result and conclusion: Bilateral external ophthalmoplegia has been described as a part of the spectrum of ocular manifestations of this arbovirus-associated fever. This is the first report of its kind in a pediatric patient. In addition, there was evidence of internal ophthalmoplegia as well. Recognition of this rare clinical presentation can help avoid misdiagnosis as Guillain-Barré syndrome or its ocular variant, namely Miller Fisher Syndrome.

Keywords: Chikungunya; Guillain–Barré syndrome; Miller Fisher Syndrome; Neurology; Ophthalmoplegia.