COVID-19-associated Retrobulbar Neuritis In A Child
SEMRA SAYGI, Oğuzhan Ali Oruz
Objectives: Herein, we report the clinical findings of a rare case of COVID-19 Delta variant infection with the sole manifestation of retrobulbar optic neuritis. Methods: A 13-year-old previously healthy boy was admitted to Pediatric Neurology Outpatient clinic with a history of progressive painful eye movements and bilateral, dark spots in the visual field lasting for two days. He had no preceding history of upper respiratory infection. He had no respiratory symptoms and fever, or loss of taste except for a nonspecific headache. No neurologic deficits or cranial nerve dysfunction were noted, when evaluating pupillary reflexes a relative afferent pupillary defect was observed in the eye, and visual field examination showed a scotoma in the upper quadrant of the visual field. Magnetic resonance images with the contrast of the brain and orbita were unremarkable. The visual evoked potential (VEP) revealed showed slightly prolonged latencies. Since lumbar puncture will be performed under operating room conditions, a COVID-19 polymerase chain reaction swab test was taken from the nasopharynx under hospital rules. His COVID-19 PCR screen was positive. Results: The patient was diagnosed with retrobulbar neuritis associated covid and treated with intravenous pulse methylprednisolone Conclusions: Ocular manifestations associated with COVID-19 are rare but should not be ignored. Physicians should consider a detailed evaluation of patients when necessary, even if no preceding history of COVİD 19 infection. Steroids are the mainstay of treatment, but additional studies are recommended to explore the disease and successful treatments.
Keywords: COVID-19,Retrobulbar Neuritis, children
SEMRA SAYGI
Baskent University Faculty of Medicine
Turkey
Oğuzhan Ali Oruz
Baskent University, Faculty of Medicine
Turkey
Objectives: Herein, we report the clinical findings of a rare case of COVID-19 Delta variant infection with the sole manifestation of retrobulbar optic neuritis. Methods: A 13-year-old previously healthy boy was admitted to Pediatric Neurology Outpatient clinic with a history of progressive painful eye movements and bilateral, dark spots in the visual field lasting for two days. He had no preceding history of upper respiratory infection. He had no respiratory symptoms and fever, or loss of taste except for a nonspecific headache. No neurologic deficits or cranial nerve dysfunction were noted, when evaluating pupillary reflexes a relative afferent pupillary defect was observed in the eye, and visual field examination showed a scotoma in the upper quadrant of the visual field. Magnetic resonance images with the contrast of the brain and orbita were unremarkable. The visual evoked potential (VEP) revealed showed slightly prolonged latencies. Since lumbar puncture will be performed under operating room conditions, a COVID-19 polymerase chain reaction swab test was taken from the nasopharynx under hospital rules. His COVID-19 PCR screen was positive. Results: The patient was diagnosed with retrobulbar neuritis associated covid and treated with intravenous pulse methylprednisolone Conclusions: Ocular manifestations associated with COVID-19 are rare but should not be ignored. Physicians should consider a detailed evaluation of patients when necessary, even if no preceding history of COVİD 19 infection. Steroids are the mainstay of treatment, but additional studies are recommended to explore the disease and successful treatments.
Keywords: COVID-19,Retrobulbar Neuritis, children
SEMRA SAYGI
Baskent University Faculty of Medicine
Turkey
Oğuzhan Ali Oruz
Baskent University, Faculty of Medicine
Turkey
SEMRA SAYGI
Baskent University Faculty of Medicine Turkey
Baskent University Faculty of Medicine Turkey