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Multiple Cranial Nerve Palsies Associated with Type 2 Diabetes Mellitus
Singapore Med J 47:712-715, Singh, N.P.,et al, 2006
See this aricle in Pubmed

Article Abstract
Although isolated cranial nerve palsies are common in patients with diabetes mellitus, multiple simultaneous cranial neuropathies are rare. We report a 48-year-old man, a known case of diabetes mellitus, who presented with facial palsy, foot drop and painful ophthalmoplegia of the left eye. The initial differential diagnosis included diabetic polyneuropathy, septic cavernous sinus thrombosis, mucormycosis and the Tolosa Hunt Syndrome. Magnetic resonance (MR) imaging findings were consistent with those of the Tolosa Hunt Syndrome. The patient had remarkable complete resolution of his ophthalmoplegia after four weeks of steroid treatment, with repeat MRI imaging showing resolution of the initial changes.
 
Related Tags
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cranial neuropathy
cranial neuropathy,multiple
diabetes mellitus
diabetic ophthalmoplegia
eye,pain in
MRI,abnormal
MRI,contrast enhanced
ophthalmoplegia
ophthalmoplegia,painful
pain
retro-orbital pain
steroid therapy,CNS treatment and complications with
Tolosa Hunt syndrome
treatment of neurologic disorder

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