EDUARDO ZORRILLA, M.D.; GEORGE P. KOZAK, M.D., F.A.C.P.
The occurrence of ocular nerve paralysis in a diabetic patient presents a dilemma from diagnostic, prognostic, and therapeutic points of view. When the ophthalmoplegia is a manifestation of diabetic neuropathy, a benign, self-limited course is to be expected. The presenting symptoms, however, may be consistent with serious life-threatening conditions such as intracranial neoplasms and aneurysms, which can also occur in diabetics. For complete evaluation it may be necessary to perform cerebral arteriography or pneumoencephalogram, either of which implies inherent risks. Whether ophthalmoplegia in the diabetic is an indication for these procedures depends upon a careful evaluation of the individual case.
ZORRILLA E, KOZAK GP. Ophthalmoplegia in Diabetes Mellitus. Ann Intern Med. 1967;67:968–976. doi: 10.7326/0003-4819-67-5-968
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Published: Ann Intern Med. 1967;67(5):968-976.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism, Neurology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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