Isolated, pupil-sparing third nerve palsy as initial manifestation of systemic lupus erythematosus.
A 29-year-old woman had an isolated, pupil-sparing third cranial nerve palsy. Serologic and CSF abnormalities and the subsequent course were consistent with systemic lupus erythematosus. Corticosteroid therapy resulted in improvement of ocular palsy within 4 weeks. The pathogenesis of cranial neuropathy in systemic lupus erythematosus and the unique presentation in this patient are discussed.
Rosenstein
E D
ED
Division of Rheumatology, UMDNJ-New Jersey Medical Center, Newark.
Sobelman
J
J
Kramer
N
N
D000328:Adult; D003389:Cranial Nerve Diseases / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009802:Oculomotor Nerve / Q000503:physiopathology*; D010243:Paralysis / Q000209:etiology* / Q000503:physiopathology