A Case of Pupil-Sparing Oculomotor Nerve Palsy due to Midbrain Infarction in Diabetic Patient.
- Author:
Kwang Ik YANG
1
;
Chun Taek PARK
;
Hyung Kook PARK
;
Hyun Kil SHIN
;
Ki Bum SUNG
Author Information
1. Department of Neurology, College of Medicine, Soonchunhyang University.
- Publication Type:Brief Communication
- MeSH:
Cavernous Sinus;
Diabetes Mellitus;
Diplopia;
Female;
Humans;
Infarction*;
Magnetic Resonance Imaging;
Mesencephalon*;
Middle Aged;
Oculomotor Nerve Diseases*;
Oculomotor Nerve*;
Pupil;
Subarachnoid Space
- From:Journal of the Korean Neurological Association
1996;14(1):310-314
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: In general, vasculopathic oculomotor nerve palsy with pupil-sparing implied a lesion in the subarachnoid space or the cavernous sinus; however, it has been reported that similar findings can be produced by fascicular lesion. CASE: A 48-year-old woman with diabetes mellitus complained of diplopia and right ptosis. Examination revealed a complete oculomotor nerve palsy of the right eye with sparing of the pupil. The MRI revealed a infarction in the fascicular portion of the oculomotor nerve. CONCLUSION: It is emphasized that the intraaxial lesion should be ruled out using the sophisticated study in patients with pupil-sparing vasculopathic oculomotor nerve palsy.
