title: A case of atypical ophthalmoplegia after Chikungunya fever.
abstract: OBJECTIVE
  This study aims to report an unusual case of bilateral diffuse ophthalmoplegia with levator sparing, in a patient after an episode of Chikungunya fever.
  
  
  METHODS
  Case report of a five-year-old girl with inability to move both eyes along with decreased near vision.
  
  
  CONCLUSIONS
  Bilateral external ophthalmoplegia has been described as a part of the spectrum of ocular manifestations of this arbovirus-associated fever. This is the first report of its kind in a pediatric patient. In addition, there was evidence of internal ophthalmoplegia as well. Recognition of this rare clinical presentation can help avoid misdiagnosis as Guillain-Barré syndrome or its ocular variant, namely Miller Fisher Syndrome.
authors.affiliation: Chacha Nehru Bal Chikitsalaya, Room 228, Geeta Colony, Delhi, 110031, India. mitad.4@gmail.com.
authors.forename: Paromita
authors.initials: P
authors.lastname: Dutta
authors.affiliation: Chacha Nehru Bal Chikitsalaya, Room 228, Geeta Colony, Delhi, 110031, India.
authors.forename: Ankita
authors.initials: A
authors.lastname: Sharma
mesh_terms: D065632:Chikungunya Fever / Q000175:diagnosis*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009886:Ophthalmoplegia / Q000175:diagnosis*
keywords: Chikungunya; Guillain–Barré syndrome; Miller Fisher Syndrome; Neurology; Ophthalmoplegia