TY - JOUR ID - 40009 TI - Bilateral Abducent Palsy in Leptospirosis- An Eye Opener to a Rare Neuro Ocular Manifestation: A Case Report JO - Iranian Journal of Medical Sciences JA - IJMS LA - en SN - 0253-0716 AU - Mahesh, Mahadevaiah AU - Shivanagappa, Mamatha AU - Venkatesh, Chilkunda Raviprakash AD - Associate Professor of Medicine, Department of General Medicine, JSS Medical College, Mysore, Karnataka State, India AD - Assistant Professor of OBG, Department of Obstetrics and Gynecology, Medical College, Mysore, Karnataka State, India AD - Senior Resident in Medicine, Department of General Medicine, JSS Medical College, Mysore, Karnataka State, India Y1 - 2015 PY - 2015 VL - 40 IS - 6 SP - 544 EP - 547 KW - leptospirosis KW - Abducent nerve palsy KW - Cranial nerve diseases DO - N2 - Leptospirosis, a disease of great significance in tropical countries, presents commonly as a biphasic illness with acute febrile episode in the first phase followed by a brief afebrile period and then by the second phase of fever with or without jaundice and renal failure. However, it has varied manifestations and unusual clinical features ascribed to immunological phenomena can occur due to the additional involvement of pulmonary, cardiovascular, and neurological systems. Among the various neurological features, aseptic meningitis is the most common myeloradiculopathy, myelopathy, cerebellar dysfunction, transverse myelitis, Guillain-Barre syndrome, optic neuritis, peripheral neuropathy are also described. Cranial neuropathy involving facial nerve is a rare, but known neurological manifestation. Sixth nerve palsy in neuroleptospirosis has so far not been reported. We hereby present the occurrence of bilateral abducent nerve palsy in a patient with leptospirosis. UR - https://ijms.sums.ac.ir/article_40009.html L1 - https://ijms.sums.ac.ir/article_40009_d7a01ed845fa8a740cd712f819c387f7.pdf ER -