A Case of Sequential Multiple Cranial Neuropathies in Diabetes Mellitus

J Korean Neurol Assoc > Volume 18(3); 2000 > Article

Journal of the Korean Neurological Association 2000;18(3): 349-352.

당뇨병 환자에서 발생한 순차적 다발성 뇌신경 마비 1예

곽준혁 박기종 이연효 홍준기 최낙천 권오영 임병훈, 곽준혁 박기종 이연효 홍준기 최낙천 권오영 임병훈

경상대학교 의과대학 신경과학교실,신경과학연구소

A Case of Sequential Multiple Cranial Neuropathies in Diabetes Mellitus

Jun-Hyeok Kwak, M.D., Ki-Jong Park, M.D., Yeon-Hyo Lee, M.D., Jun-Gi Hong, M.D., Nack-Cheon Choi, M.D., Oh-Young Kwon, M.D., Byeong-Hoon Lim, M.D.

Department of Neurology, College of Medicine, Gyeongsang National University

Abstract

Cranial mononeuropathies, manifesting particulary as opthalmoplegia or facial palsy, are common entities in the dia-betic population. However, sequential multiple cranial neuropathies due to diabetes are much less common. It is often associated with other conditions such as a brain tumor or head trauma. A 61-year-old diabetic man presented with pto-sis, opthalmoplegia, and facial palsy which were manifestations of multiple cranial neuropathies involving the left 3rd, 4th, 6th, and 7th cranial nerves throughout five weeks. The pupils were not involved. The neurologic evaluation include-ed a CSF study and a brain MRI with MRA. None of them produced any significant results. Blink reflexes revealed evidence of a left facial nerve lesion. The blood glucose was strictly controlled and steroid therapy was administered. The ptosis of the patient