[糖尿病性动眼神经麻痹。44例回顾性研究]

[Paralysis of oculomotor nerves in diabetes mellitus. A retrospective study of 44 cases].

作者信息

Lazzaroni F, Laffi G L, Galuppi V, Scorolli L

机构信息

Cattedra di Ottica Fisiopatologica, Università di Bologna, Italia.

出版信息

Rev Neurol (Paris). 1993;149(10):571-3.

PMID:8023075

Abstract

Data from the clinical charts of 44 diabetic patients with oculomotor palsy were studied. The sixth cranial nerve was involved in 55 p. 100 of cases, the third in 39 p. 100 and the fourth in 6 p. 100 of cases. Forty three patients had type II diabetes mellitus; in 19 the oculomotor palsy revealed diabetes, while in 25 patients diabetes mellitus had been diagnosed for 9.5 +/- 6.2 years. The oculomotor palsy resolved within an average of 93 days on average (range 156-39 days). Twenty eight patients had arterial hypertension and 23 ischemic cardiopathy of peripheral arteriopathy. There appeared to be no correlation between oculomotor palsy and the quality of glycemia control, renal function, the presence of diabetic retinopathy, or other diabetic neurological complications.

摘要

对44例患有动眼神经麻痹的糖尿病患者的临床病历数据进行了研究。在这些病例中，第六对颅神经受累的占55%，第三对颅神经受累的占39%，第四对颅神经受累的占6%。43例患者患有II型糖尿病；其中19例动眼神经麻痹提示患有糖尿病，而25例患者糖尿病已被诊断9.5±6.2年。动眼神经麻痹平均在93天内（范围15 - 639天）得到缓解。28例患者患有动脉高血压，23例患有外周动脉病变的缺血性心脏病。动眼神经麻痹与血糖控制质量、肾功能、糖尿病视网膜病变的存在或其他糖尿病神经并发症之间似乎没有相关性。