title: Altered sensorium and multiple cranial nerve palsies in a recently diagnosed diabetic.
abstract: We report a recent diabetic who presented with hyperglycemic, hyperosmolar, non ketotic state with coma and multiple cranial nerve palsies due to an associated previously undetected sinus infection. This is a classic case revisited purely for its educational value in terms of clinical photographs, tissue biopsy and imaging findings. These findings reiterate the devastating neurological consequences of fungal sinusitis in diabetic patients.
authors.affiliation: Department of Medicine People's College of Medical Sciences, Bhanpur, Bhopal-462037 MP INDIA.
authors.forename: Shaifali
authors.initials: S
authors.lastname: Bansal
authors.affiliation: Department of Medicine People's College of Medical Sciences, Bhanpur, Bhopal-462037 MP INDIA.
authors.forename: C C
authors.initials: CC
authors.lastname: Chaubal
authors.affiliation: Department of Medicine People's College of Medical Sciences, Bhanpur, Bhopal-462037 MP INDIA.
authors.forename: Sushil
authors.initials: S
authors.lastname: Jindal
authors.affiliation: Department of Microbiology People's College of Medical Sciences, Bhanpur, Bhopal-462037 MP INDIA.
authors.forename: Atul
authors.initials: A
authors.lastname: Aher
authors.affiliation: Department of Medicine People's College of Medical Sciences, Bhanpur, Bhopal-462037 MP INDIA.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Biswas
keywords: Diabetes; Hyperglycemic Hyperosmolar Non Ketotic State HHNS; mucormycosis; sinusitis