Nakai A, Nishida Y, Kondou K, Mokuno T, Oda N, Sawai Y, Mano T, Kotake M, Masunaga R, Yamamoto H
Department of Internal Medicine and Neurology, Fujita Health University School of Medicine, Aichi, Japan.
Diabetes Res. 1994;26(2):89-92.
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.
眼肌麻痹是糖尿病常见的颅神经病变。在动眼神经受累的情况下,通常单侧眼外肌会受到影响。然而,糖尿病性神经病变患者中眼睑下垂非常罕见。在本报告中,我们描述了糖尿病患者出现双侧眼睑下垂伴眼肌麻痹的情况。在与糖尿病相关的眼肌麻痹中,有缺血性神经梗死的报道。我们用脂溶性前列腺素(PG)E1治疗了该患者。从那时起,发现该患者的血小板聚集活性增加。两个月后,该患者的症状有所改善。