Diabetes plus third nerve palsy not always diabetic third nerve palsy

Persistent severe pain and lack of improvement of third nerve palsy after 1 month of onset of illness were atypical for diabetes-related MP. So, we proceeded with digital subtraction angiography (DSA) to rule out other causes such as aneurysms and vascular malformation. In addition to pupil sparing,...

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Bibliographic Details
Published inJournal of postgraduate medicine Vol. 61; no. 1; pp. 50 - 52
Main Authors Venkatesan, P E, Gnanashanmugam, G, Parimalam, N, Pranesh, M B
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.01.2015
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Subjects
Care and treatment
Case Snippet
Case studies
Cranial Nerve Diseases - physiopathology
Diabetes
Diabetes Complications
Diabetic Neuropathies - physiopathology
Diagnosis
Facial Nerve
Facial Paralysis - physiopathology
Female
Humans
Hypertension
Ischemia
Middle Aged
Oculomotor nerve diseases
Oculomotor Nerve Diseases - etiology
Oculomotor Nerve Diseases - pathology
Pain
Sinuses
Veins & arteries
United States
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Summary:Persistent severe pain and lack of improvement of third nerve palsy after 1 month of onset of illness were atypical for diabetes-related MP. So, we proceeded with digital subtraction angiography (DSA) to rule out other causes such as aneurysms and vascular malformation. In addition to pupil sparing, a chronic stable course associated with spontaneous recovery is suggestive of MP. [2] The presence of pain in both MP and in ocular motor cranial nerve palsies due to compressive lesions underscores the importance of ensuring spontaneous resolution when the diagnosis of MP is made clinically.
ISSN:0022-3859
0972-2823
DOI:10.4103/0022-3859.147055