title: Diplopia and Sjogren's disease: A rare case report.
abstract: Sjogren's syndrome is a chronic autoimmune disorder which affects the exocrine glands with lymphocytic infiltration, and occasionally involves central nervous system. It is usually rare and manifests as a lesion in the trigeminal nerve. Our case discusses the involvement of the oculomotor and abducens nerves along with the prevalence of such cases as seen on literature review. We describe a case of a middle aged woman who presented with ophthalmoplegic symptoms. The symptoms resolved in response to steroid therapy and serum analysis was positive for anti SSA antibodies. Increasing use of imaging modalities has enabled identifying cranial nerve enhancements easily. Correlating this to serum analysis, as in our case; has helped identify more cases of third and sixth cranial nerve involvement than was previously known to occur with primary Sjogren's syndrome.
authors.affiliation: SMT. NHL Medical Municipal College, Gujarat, India. Electronic address: Kausha7849@gmail.com.
authors.forename: Kaushalendra
authors.initials: K
authors.lastname: Tripathi
authors.affiliation: 8C University Health Center, Department of Neurology, 4201 St Antoine St., Detroit, MI 48201, United States. Electronic address: Richa.tripathi@wayne.edu.
authors.forename: Richa
authors.initials: R
authors.lastname: Tripathi
authors.affiliation: 4201 St Antoine St., Department of Neurology, Detroit, MI 48201, Wayne State University, United States. Electronic address: nseraji@wayne.edu.
authors.forename: Navid
authors.initials: N
authors.lastname: Seraji-Bozorgzad
mesh_terms: D003937:Diagnosis, Differential; D004172:Diplopia / Q000150:complications* / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012859:Sjogren's Syndrome / Q000150:complications* / Q000000981:diagnostic imaging*