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Case Report
Online Published: 20 Feb 2020
 


Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report

Lothar Matheus Manson Vanende Silalahi.


Abstract
INTRODUCTION: Diabetic cranial neuropathy is a spectrum of diabetic neuropathy. Isolated cranial nerve involvement is common as the manifestation of diabetic cranial neuropathy. The cranial nerve that frequently involved are abducens and oculomotor nerve, trochlear nerve is the least involved. Simultaneous cranial nerve involvement is not common and need further investigation for other possible etiology.
CASE REPORT: We reported a 52-year-old, diabetic and hypertensive male, presented with acute onset, first ever, severe temporal headache with left eye ptosis, diplopia and opthalmoplegia. Neurologic examination revealed left oculomotor and trochlear nerve palsy with sparring of pupillary function. Examination of blood D-dimer and C-reactive were normal. Head contrast MRI and MR Angiography revealed no lesion. He was diagnosed with diabetic cranial neuropathy after exclusion of other possible etiology.
CONCLUSION: Simultaneous involvement of two or more cranial nerve neuropathy in diabetic patient is not common and need further investigation. Exclusion of the other possible diagnosis is important to diagnose diabetic cranial neuropathy.

Key words: diabetes, neuropathy, cranial nerve


 
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Pubmed Style

Lothar Matheus Manson Vanende Silalahi. Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report. Int J Med Rev Case Rep. 2020; 4(4): 108-110. doi:10.5455/IJMRCR.Simultaneous-Diabetic-Oculomotor

Web Style

Lothar Matheus Manson Vanende Silalahi. Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report. https://www.mdpub.net/?mno=81154 [Access: October 13, 2024]. doi:10.5455/IJMRCR.Simultaneous-Diabetic-Oculomotor

AMA (American Medical Association) Style

Lothar Matheus Manson Vanende Silalahi. Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report. Int J Med Rev Case Rep. 2020; 4(4): 108-110. doi:10.5455/IJMRCR.Simultaneous-Diabetic-Oculomotor


Vancouver/ICMJE Style

Lothar Matheus Manson Vanende Silalahi. Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report. Int J Med Rev Case Rep. (2020), [cited October 13, 2024]; 4(4): 108-110. doi:10.5455/IJMRCR.Simultaneous-Diabetic-Oculomotor


Harvard Style

Lothar Matheus Manson Vanende Silalahi (2020) Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report. Int J Med Rev Case Rep, 4 (4), 108-110. doi:10.5455/IJMRCR.Simultaneous-Diabetic-Oculomotor


Turabian Style

Lothar Matheus Manson Vanende Silalahi. 2020. Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report. International Journal of Medical Reviews and Case Reports, 4 (4), 108-110. doi:10.5455/IJMRCR.Simultaneous-Diabetic-Oculomotor


Chicago Style

Lothar Matheus Manson Vanende Silalahi. "Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report." International Journal of Medical Reviews and Case Reports 4 (2020), 108-110. doi:10.5455/IJMRCR.Simultaneous-Diabetic-Oculomotor


MLA (The Modern Language Association) Style

Lothar Matheus Manson Vanende Silalahi. "Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report." International Journal of Medical Reviews and Case Reports 4.4 (2020), 108-110. Print. doi:10.5455/IJMRCR.Simultaneous-Diabetic-Oculomotor


APA (American Psychological Association) Style

Lothar Matheus Manson Vanende Silalahi (2020) Rare Case of Simultaneous Diabetic Oculomotor and Trochlear Nerve Neuropathy: Case Report. International Journal of Medical Reviews and Case Reports, 4 (4), 108-110. doi:10.5455/IJMRCR.Simultaneous-Diabetic-Oculomotor


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