Isolated Lateral Rectus Palsy: A Case Report on Rare Neurological Manifestation of Dengue Viral Fever.
Megha R Kotecha, Varsha Manade, Ahan Gupta et al.
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Case in brief
A 31-year-old man with dengue viral fever developed binocular diplopia on extreme right gaze. Examination identified unilateral lateral rectus palsy, consistent with an isolated sixth cranial nerve palsy. He was managed medically and achieved full ocular recovery.
What made this case unusual
The case describes dengue associated with an isolated unilateral sixth nerve palsy, an uncommon neurological manifestation of the infection.
Diagnostic / clinical pearl
In a patient with fever and isolated sixth nerve palsy, dengue should be considered among the differential diagnoses.