Recurrent cranio-oculo-facial diabetic complication
Diabetic cranial neuropathy is one of the important complications of diabetes with up to 10-fold increase in incidence. It usually affects 3rd, 4th, and 6th cranial nerves. Recurrent cranial neuropathy is lesser reported, and its incidence is not very clear. Course is usually benign with spontaneous...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=8;spage=2732;epage=2734;aulast=Dey |
| _version_ | 1818996357260640256 |
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| author | Anupam Dey |
| author_facet | Anupam Dey |
| author_sort | Anupam Dey |
| collection | DOAJ |
| description | Diabetic cranial neuropathy is one of the important complications of diabetes with up to 10-fold increase in incidence. It usually affects 3rd, 4th, and 6th cranial nerves. Recurrent cranial neuropathy is lesser reported, and its incidence is not very clear. Course is usually benign with spontaneous remission within months. A 47-years diabetic male presented with acute onset diplopia and right sided ptosis with history of 3 previous episodes of sudden facio-ocular complications of diabetes over a period of 5 years all of which had improved completely over 6 to 8 weeks. On examination he was found to have right-sided pupil sparing 3rd cranial nerve palsy. Visual acuity was normal. Examination of fundus showed early nonproliferative diabetic retinopathy changes. Motor, sensory system, bladder, and bowel were normal. Blood tests revealed FBS 133 mg%, PPBS 333 mg%, HbA1C 8.8, Creatinine 1.8 mg%, normal electrolytes, and LFT. CSF study showed 4 cells with Protein 68 mg% and Sugar 83 mg%. CT scan of the brain showed normal brain parenchyma. MRI of brain did not reveal any acute infarct or mass lesion and visualized cranial nerves were normal. Other work ups were negative. His sugars were controlled with oral antidiabetic drugs. Patient improved with oral steroids. |
| first_indexed | 2024-12-20T21:28:27Z |
| format | Article |
| id | doaj.art-87e01efddf7e4e2c9c6a48019aa25b77 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-12-20T21:28:27Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-87e01efddf7e4e2c9c6a48019aa25b772022-12-21T19:26:05ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632019-01-01882732273410.4103/jfmpc.jfmpc_476_19Recurrent cranio-oculo-facial diabetic complicationAnupam DeyDiabetic cranial neuropathy is one of the important complications of diabetes with up to 10-fold increase in incidence. It usually affects 3rd, 4th, and 6th cranial nerves. Recurrent cranial neuropathy is lesser reported, and its incidence is not very clear. Course is usually benign with spontaneous remission within months. A 47-years diabetic male presented with acute onset diplopia and right sided ptosis with history of 3 previous episodes of sudden facio-ocular complications of diabetes over a period of 5 years all of which had improved completely over 6 to 8 weeks. On examination he was found to have right-sided pupil sparing 3rd cranial nerve palsy. Visual acuity was normal. Examination of fundus showed early nonproliferative diabetic retinopathy changes. Motor, sensory system, bladder, and bowel were normal. Blood tests revealed FBS 133 mg%, PPBS 333 mg%, HbA1C 8.8, Creatinine 1.8 mg%, normal electrolytes, and LFT. CSF study showed 4 cells with Protein 68 mg% and Sugar 83 mg%. CT scan of the brain showed normal brain parenchyma. MRI of brain did not reveal any acute infarct or mass lesion and visualized cranial nerves were normal. Other work ups were negative. His sugars were controlled with oral antidiabetic drugs. Patient improved with oral steroids.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=8;spage=2732;epage=2734;aulast=DeyCranialdiabetesdiplopianeuropathysteroid |
| spellingShingle | Anupam Dey Recurrent cranio-oculo-facial diabetic complication Journal of Family Medicine and Primary Care Cranial diabetes diplopia neuropathy steroid |
| title | Recurrent cranio-oculo-facial diabetic complication |
| title_full | Recurrent cranio-oculo-facial diabetic complication |
| title_fullStr | Recurrent cranio-oculo-facial diabetic complication |
| title_full_unstemmed | Recurrent cranio-oculo-facial diabetic complication |
| title_short | Recurrent cranio-oculo-facial diabetic complication |
| title_sort | recurrent cranio oculo facial diabetic complication |
| topic | Cranial diabetes diplopia neuropathy steroid |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=8;spage=2732;epage=2734;aulast=Dey |
| work_keys_str_mv | AT anupamdey recurrentcraniooculofacialdiabeticcomplication |