Complete ophthalmoplegia in a hypertensive diabetic patient.
Combined paresis of all three ocular motor nerves is a rare ocular manifestation in diabetic patients. We present a case of a 73-year-old female with complete ophthalmoplegia. There was no evidence of peripheral neuropathy. Diagnostic angiography showed atherosclerotic stenosis in the cavernous segment of left internal carotid artery. The ophthalmoplegia had a self-limited course despite the severe vascular lesions.
Chen
H D
HD
Department of Internal Medicine, Tz'u-Chi Hospital, Hualien, Taiwan.
Fong
V H
VH
Tang
T W
TW
D000368:Aged; D001161:Arteriosclerosis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001241:Aspirin / Q000627:therapeutic use; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D003925:Diabetic Angiopathies / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003929:Diabetic Neuropathies / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology*
D001241:Aspirin