Combined Facial and Contralateral Trochlear Nerve Palsy in a Patient with Diabetes Mellitus

J Korean Neurol Assoc > Volume 24(2); 2006 > Article

Journal of the Korean Neurological Association 2006;24(2): 166-168.

당뇨 환자에서 함께 발견된 얼굴신경마비와 반대편의 도르래신경마비

최재철, 강사윤 강지훈

제주대학교 의과대학 신경과학교실

Combined Facial and Contralateral Trochlear Nerve Palsy in a Patient with Diabetes Mellitus

Chol Jay Choi, M.D

Department of Neurology, Cheju National University, College of Medicine, Jeju, Korea

Abstract

There is an increasing number of reports that the lesion site in isolated cranial neuropathies may be the brainstem. The authors describe a diabetic patient with peripheral type facial palsy and concurrent trochlear palsy. Magnetic resonance imaging showed only a small pontine infarction responsible for the facial palsy. Multiple cranial nerve palsies seen in this patient might be a manifestation of multiple acute small infarcts involving both the brainstem and its cranial nerve root simultaneously.KeyWords:Diabetes mellitus, Cranial nerve palsy, Brainstem infarction