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J Med Case Rep . Acute abducens nerve palsy following coronavirus disease 2019 vaccination: a case report

tetano

Editor, Senior Moderator
J Med Case Rep


. 2024 Aug 6;18(1):364.
doi: 10.1186/s13256-024-04681-2. Acute abducens nerve palsy following coronavirus disease 2019 vaccination: a case report

Chen-Ting Wang[SUP] 1 [/SUP], Jie-Yuan Li[SUP] 2 [/SUP]



Affiliations
Abstract

Background: Abducens nerve palsy is the most common isolated ocular cranial nerve palsy. In adults, nontraumatic etiologies of isolated sixth cranial nerve palsy can include vascular disease, inflammation, tumors, and a prior history of infection.
Case presentation: We present a case of a 52-year-old Asian male who developed acute abducens nerve palsy after vaccination with the AstraZeneca coronavirus disease 2019 vaccine. A complete workup including magnetic resonance imaging of the brain and orbits revealed no abnormalities. The patient experienced a gradual recovery over 10 weeks through alternative eye patching. The abducens nerve palsy is postulated to be correlated with the coronavirus disease 2019 vaccine.
Conclusion: Despite the recognized efficacy and cost benefits of coronavirus disease 2019 vaccines, clinicians should be aware of the possible association between cranial nerve palsies and coronavirus disease 2019 vaccines.

Keywords: Abducens; COVID-19; Vaccination.

 
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