Bilateral ptosis with ophthalmoplegia in a 72-year-old woman with diabetes.
Ophthalmoplegia is common cranial neuropathy of Diabetes. In case of 3rd nerve involvement, usually unilateral extra ocular muscles are affected. However, ptosis is very rare in patients with diabetic neuropathy. In this report, we describe bilateral ptosis with ophthalmoplegia in diabetes. In ophthalmoplegia associated with diabetes, ischemic nerve infarction was reported. We treated this patient with Lipo prostaglandin (PG) E1. Since then, increased platelet aggregation activity was found in this patient. After two months, the symptoms of this patient were improved.
Nakai
A
A
Department of Internal Medicine and Neurology, Fujita Health University School of Medicine, Aichi, Japan.
Nishida
Y
Y
Kondou
K
K
Mokuno
T
T
Oda
N
N
Sawai
Y
Y
Mano
T
T
Kotake
M
M
Masunaga
R
R
Yamamoto
H
H
D000368:Aged; D000527:Alprostadil / Q000627:therapeutic use*; D001763:Blepharoptosis / Q000188:drug therapy / Q000503:physiopathology*; D003094:Collagen / Q000494:pharmacology; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000503:physiopathology*; D003929:Diabetic Neuropathies / Q000097:blood / Q000188:drug therapy / Q000503:physiopathology*; D005260:Female; D006801:Humans; D009886:Ophthalmoplegia / Q000097:blood / Q000188:drug therapy / Q000503:physiopathology*; D010974:Platelet Aggregation / Q000187:drug effects
D003094:Collagen; D000527:Alprostadil