A Case of Sequential Multiple Cranial Neuropathies in Diabetes Mellitus.
- Author:
Jun Hyeok KWAK
1
;
Ki Jong PARK
;
Yeon Hyo LEE
;
Jun Gi HONG
;
Nack Cheon CHOI
;
Oh Young KWON
;
Byeong Hoon LIM
Author Information
1. Department of Neurology, College of Medicine, Gyeongsang National University.
- Publication Type:Case Report
- Keywords:
Sequential multiple cranial neuropathies;
Diabetes mellitus;
Blink reflex
- MeSH:
Blinking;
Blood Glucose;
Brain;
Brain Neoplasms;
Cranial Nerve Diseases*;
Cranial Nerves;
Craniocerebral Trauma;
Diabetes Mellitus*;
Eyelids;
Facial Nerve;
Facial Paralysis;
Follow-Up Studies;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Mononeuropathies;
Pupil
- From:Journal of the Korean Neurological Association
2000;18(3):349-352
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cranial mononeuropathies, manifesting particulary as opthalmoplegia or facial palsy, are common entities in the dia-betic population. However, sequential multiple cranial neuropathies due to diabetes are much less common. It is often associated with other conditions such as a brain tumor or head trauma. A 61-year-old diabetic man presented with ptosis, opthalmoplegia, and facial palsy which were manifestations of multiple cranial neuropathies involving the left 3rd, 4th, 6th, and 7th cranial nerves throughout five weeks. The pupils were not involved. The neurologic evaluation included a CSF study and a brain MRI with MRA. None of them produced any significant results. Blink reflexes revealed evidence of a left facial nerve lesion. The blood glucose was strictly controlled and steroid therapy was administered. The ptosis of the patientanjx left eyelid improved during treatment and he was discharged after 13 days. In a follow-up examination 3 months after onset, focal neurological deficits including opthalmoplegia and facial palsy on the left side were greatly improved and barely noticeable.
