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Case Report
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Korean J Med. 2014;87(1):92-95. Published online July 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.1.92
- 3, 4, 6번 뇌신경이 동시에 마비된 당뇨병성
다발성 뇌 신경병증 1예
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반태현, 장상아, 이정민, 김지현, 김지혜, 노지웅, 김경훈
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가톨릭대학교 의과대학 내과학교실
- Case of Multiple Cranial Diabetic Neuropathies Involving the Third, Fourth and
Sixth Cranial Nerves
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Tae-Hyun Ban, Sang-Ah Chang, Jung-Min Lee, Ji-Hyun Kim, Ji-Hye Kim, Ji-Woong Roh, Kyung-Hoon Kim
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Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
- Corresponding author: Sang-Ah Chang ,Tel: +82-2-961-4510, Fax: +82-2-958-2398, Email: sangah@catholic.ac.kr
- Received: November 13, 2013; Accepted: February 20, 2014.
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- 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.
Keywords :Cranial neuropathy, Diabetes mellitus, Ophthalmoplegia
