On December 31, 2019, several cases of pneumonia of unknown etiology have been reported in Wuhan, Hubei province, China [1][2][3]. On January 7, 2020, Chinese health authorities confirmed that these cases were associated with a novel coronavirus, which was subsequently named 2019 nCoV by WHO [4]. Previous study [5] reported that virus infection can cause several neurological complications, including polyneuritis, Guillain-Barre syndrome (GBS), meningitis, encephalomyelitis, and encephalopathy. We describe a rare case of 2019CoV infection and acute uni lateral isolated oculomotor nerve palsy. In this case, the diagnosis was made based on the chest computed CT mani festations and throat swab sample test.A 62yearold man was admitted to our department with a 5day history of persistent diplopia and a droopy left eyelid. During initial hospital assessment, he endorsed limb weak ness and poor spirit. He denied any fever, neck stiffness, headache, cough, shortness of breath, chest pain, or photo phobia. He had a history of alcohol and tobacco use, type II diabetes mellitus and hypertension (both well controlled by drugs), and lacunar infarction (without sequela).On examination, it revealed body temperature of 36.5 °C (97.7 °F), blood pressure of 142/72 mmHg, respiratory rate of 22 breaths per minute, pulse rate of 70 beats per minute and oxygen saturation of 95% while the patient was breath ing ambient air. There were coarse rales in the both lung field. The patient was alert and oriented to person, place, and time. His speech was fluent. Pupils were 3 mm and equally reactive to light. He had complete ptosis of the left eyelid, and his left eye was down and out at rest. The left eye was unable to adduct and look up. Left eyelid closure was weak. Both eyes were without orbital pain. Hearing was intact. No palate or tongue weakness/asymmetry was noted. Strength in upper and lower limbs was 5/5 throughout. Deep tendon reflexes were 2 + and symmetric throughout. Toes were downgoing bilaterally. Sensation to light touch, pinprick, and temperature was intact on the two sides. No pathologi cal reflection of Babinski's sign is induced. Romberg test was negative when eyes were open or close. The sign of meningeal irritation was negative. The laboratory results showed white blood cell count: 9.45 × 10 9 /L and neutrophil percentage: 69.6% were normal. Random blood glucose was 9.2 mmol/L (normal range 0-11.1 mmol/L) and hemoglobin A1C was 6.1% (normal range 0-6.2%). Respiratory patho gens test showed influenza A and B virus antigen, myco plasma pneumonia antigen, adenovirus antigen, and syncy tial virus were all negative. However, inflammatory markers were significantly elevated Creactive protein (142.21 mg/L; normal range 0-10 mg/L) and Serum amyloid A protein (300.00 mg/L; normal range 0-10 mg/L). Erythrocyte sedimentation rate was elevated (91.6 mm/h; normal range 0-15 mm/h). Magnetic resonance imaging (MRI) was not found new infarction, bleeding of brainstem or pituitary apo plexy, tumor, and multiple sclerosis (Figs. 1, 2). Ma...