J Korean Neurol Assoc.
2006 Apr;24(2):166-168.
Combined Facial and Contralateral Trochlear Nerve Palsy in a Patient with Diabetes Mellitus
- Affiliations
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- 1Department of Neurology, Cheju National University, College of Medicine, Jeju, Korea. iguazzu@hanmail.net
Abstract
- There is an increasing number of reports that the lesion site in isolated cranial neuropathies may be the brainstem. The authors describe a diabetic patient with peripheral type facial palsy and concurrent trochlear palsy. Magnetic resonance imaging showed only a small pontine infarction responsible for the facial palsy. Multiple cranial nerve palsies seen in this patient might be a manifestation of multiple acute small infarcts involving both the brainstem and its cranial nerve root simultaneously.
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