Korean Journal of Sport Science

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J Korean Neurol Assoc. 1996;14(1):310-314.
A Case of Pupil-Sparing Oculomotor Nerve Palsy due to Midbrain Infarction in Diabetic Patient
Kwang-Ik Yang, Chun-Taek Park, Hyung-Kook Park, Hyun-Kil Shin, Ki-Bum Sung
Department of Neurology, College of Medicine, Soonchunhyang University
당뇨병 환자에서 중뇌경색으로 인한 동공이 보존된 동안 신경 마비 1례
양광익, 박천택, 박형국, 신현길, 성기범
순천향대학교 의과대학 신경과학교실
Abstract
Background
: In general, vasculopathic oculomotor nerve palsy with pupil-sparing implied a lesion in the subarachnoid space or the cavernous sinus; however, it has been reported that similar findings can be produced by fascicular lesion. Case : A 48-year-old woman with diabetes mellitus complained of diplopia and right ptosis. Examination revealed a complete oculomotor nerve palsy of the right eye with sparing of the pupil. The MRI revealed a infarction in the fascicular portion of the oculomotor nerve. Conclusion : It is emphasized that the intraaxial lesion should be ruled out using the sophisticated study in patients with pupil-sparing vasculopathic oculomotor nerve palsy.

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