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KMID : 0359719960140010310
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Journal of the Korean Neurological Association
1996 Volume.14 No. 1 p.310 ~ p.314
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A Case of Pupil-Sparing Oculomotor Nerve Palsy due to Midbrain Infarction in Diabetic Patient
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Yang, Kwang-Ik/양광익
Park, Chun-Taek/Park, Hyung-Kook/Shin, Hyun-Kil/Sung, Ki-Bum/박천택/박형국/신현길/성기범
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Abstract
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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.
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