tetano
Editor, Senior Moderator
Cureus. 2018 Dec 21;10(12):e3759. doi: 10.7759/cureus.3759.
[h=1]Oculomotor Nerve Palsy After Influenza Vaccine in Inflammatory Bowel Disease.[/h] Essrani R[SUP]1[/SUP], Essrani RK[SUP]2[/SUP], Mehershahi S[SUP]2[/SUP], Lohana AK[SUP]3[/SUP], Sudhakaran A[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] Influenza and pneumococcal vaccines are recommended in inflammatory bowel disease patients. Several neurologic complications have been reported after influenza vaccines, such as Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, and acute disseminated encephalomyelitis; however, rarely, oculomotor palsy will occur. We report the case of a 23-year-old male with a past medical history of ulcerative colitis on sulfasalazine who presented to the hospital with a complaint of blurry vision five days after an influenza vaccine. Most of the possible causes of oculomotor nerve palsy, such as stroke, intracranial space-occupying lesions, aneurysms, and infections, were ruled out by history, physical exam, blood work, and imaging studies, thus leading to the influenza vaccine as the most likely cause.
[h=4]KEYWORDS:[/h] inflammatory bowel disease (ibd); influenza; oculomotor nerve palsy
PMID: 30820379 PMCID: PMC6389033 DOI: 10.7759/cureus.3759
Free PMC Article
[h=1]Oculomotor Nerve Palsy After Influenza Vaccine in Inflammatory Bowel Disease.[/h] Essrani R[SUP]1[/SUP], Essrani RK[SUP]2[/SUP], Mehershahi S[SUP]2[/SUP], Lohana AK[SUP]3[/SUP], Sudhakaran A[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] Influenza and pneumococcal vaccines are recommended in inflammatory bowel disease patients. Several neurologic complications have been reported after influenza vaccines, such as Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, and acute disseminated encephalomyelitis; however, rarely, oculomotor palsy will occur. We report the case of a 23-year-old male with a past medical history of ulcerative colitis on sulfasalazine who presented to the hospital with a complaint of blurry vision five days after an influenza vaccine. Most of the possible causes of oculomotor nerve palsy, such as stroke, intracranial space-occupying lesions, aneurysms, and infections, were ruled out by history, physical exam, blood work, and imaging studies, thus leading to the influenza vaccine as the most likely cause.
[h=4]KEYWORDS:[/h] inflammatory bowel disease (ibd); influenza; oculomotor nerve palsy
PMID: 30820379 PMCID: PMC6389033 DOI: 10.7759/cureus.3759
Free PMC Article