Case of Multiple Cranial Diabetic Neuropathies Involving the Third, Fourth and Sixth Cranial Nerves.
- Author:
Tae Hyun BAN
1
;
Sang Ah CHANG
;
Jung Min LEE
;
Ji Hyun KIM
;
Ji Hye KIM
;
Ji Woong ROH
;
Kyung Hoon KIM
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. sangah@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Cranial neuropathy;
Diabetes mellitus;
Ophthalmoplegia
- MeSH:
Abducens Nerve*;
Aged;
Aneurysm;
Angiography;
Blood Glucose;
Cerebral Infarction;
Cranial Nerve Diseases;
Diabetes Mellitus;
Diabetes Mellitus, Type 2;
Diabetic Neuropathies*;
Diplopia;
Dizziness;
Facial Nerve;
Humans;
Inflammation;
Magnetic Resonance Imaging;
Ophthalmoplegia;
Vertebral Artery
- From:Korean Journal of Medicine
2014;87(1):92-95
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Multiple simultaneous cranial neuropathies occur rarely in diabetes patients. In general, diabetic cranial neuropathy presents in an isolated form and frequently involves oculomotor or facial nerves. We report a 73-year-old man with known type 2 diabetes mellitus who presented with severe dizziness, diplopia and third, fourth and sixth nerve ophthalmoplegia of both eyes. Radiological, laboratory and ophthalmic work-up including magnetic resonance imaging and angiography (MRI and MRA) revealed no specific tumor, aneurysm, or inflammation findings, except for a previous cerebral infarction and atherosclerotic changes in the internal carotid and vertebral arteries. After strict blood glucose control, the multiple cranial nerve palsies spontaneously resolved in 12 weeks. We report the case with a review of the literature.
