Ischemic ("diabetic") cavernous sinus syndrome.
A 65-year-old diabetic woman presented with an acute cavernous sinus syndrome involving the right third, fifth, and sixth cranial nerves. The complete neuro-ophthalmic workup included high-resolution computed tomography, angiography, lumbar puncture, and laboratory studies, all of which were unrevealing. The cranial nerve palsies spontaneously resolved in 10 weeks, consistent with an ischemic etiology.
D000010:Abducens Nerve / Q000098:blood supply; D000368:Aged; D002426:Cavernous Sinus; D003391:Cranial Nerves / Q000098:blood supply*; D003929:Diabetic Neuropathies / Q000150:complications*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000150:complications*; D009802:Oculomotor Nerve / Q000098:blood supply; D009886:Ophthalmoplegia / Q000209:etiology*; D013577:Syndrome; D014276:Trigeminal Nerve / Q000098:blood supply; D014277:Trigeminal Neuralgia / Q000209:etiology*