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KMID : 0882420140870010092
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Korean Journal of Medicine
2014 Volume.87 No. 1 p.92 ~ p.95
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Case of Multiple Cranial Diabetic Neuropathies Involving the Third, Fourth and Sixth Cranial Nerves
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Ban Tae-Hyun
Chang Sang-Ah
Lee Jung-Min
Kim Ji-Hyun
Kim Ji-Hye
Roh Ji-Woong
Kim Kyung-Hoon
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Abstract
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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.
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KEYWORD
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Cranial neuropathy, Diabetes mellitus, Ophthalmoplegia
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