Oculomotor palsy with pupillary sparing in a patient with chronic subdural hematoma.
A patient with adult-onset diabetes mellitus developed an oculomotor palsy with pupillary sparing. Five days after her initial evaluation, she presented in a confused state with a complete oculomotor palsy. Computed cranial tomography revealed a chronic subdural hematoma. We recommend that noninvasive radiographic intracranial investigation be considered in elderly patients with adult-onset diabetes mellitus who present with headache and pupil-sparing oculomotor palsy.
D000368:Aged; D002908:Chronic Disease; D048909:Diabetes Complications; D005260:Female; D006408:Hematoma, Subdural / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology*; D011680:Pupil