Letter to the Editor

Partial Cranial Nerve III Palsy as a Manifestation of Undiagnosed Diabetes

Authors: Tarek Saleh, MD, Aaref Badshah, MD, Monica Nicola, MD, Khushal Afzal, MD, Sheryl Dimayuga, MD

Abstract

To the Editor:


Diabetic mononeuropathy is one of the rare forms of neuropathy, which is a serious problem from a diagnostic and therapeutic point of view. Cranial neuropathies in diabetic patients are extremely rare and occur in older individuals with a long duration of diabetes.1 Patients with diabetes mellitus may develop diplopia from isolated oculomotor, trochlear, and abducens nerve palsies or from combined ocular nerve palsies. We report a case of a 44-year-old female patient with undiagnosed diabetes mellitus who presented with partial cranial nerve III palsy.

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References

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2. Papanas N, Heliopoulos I, Piperidou H, et al. Simultaneous, painless, homolateral oculomotor and trochlear nerve palsies in a patient with type 2 diabetes mellitus. Neuropathy or brainstem infarction? Acta Diabetol 2006;43:19–21.
 
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