Monocular Oculomotor Nerve Disorder Manifesting as Cranial Neuropathy in Systemic Lupus Erythematosus: A Case Report

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著者

    • Nakamagoe Kiyotaka
    • Department of Neurology, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Japan
    • Tamaoka Akira
    • Department of Neurology, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Japan
    • Miyake Zenshi
    • Department of Neurology, University of Tsukuba Hospital, Japan
    • Kondo Yuya
    • Department of Rheumatology, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Japan
    • Ishii Akiko
    • Department of Neurology, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Japan
    • Kaji Yuichi
    • Department of Ophthalmology, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Japan
    • Oshika Tetsuro
    • Department of Ophthalmology, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Japan
    • Sumida Takayuki
    • Department of Rheumatology, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Japan

抄録

<p>We herein report the case of a patient who developed peripheral neuropathy of the bilateral lower legs that later became complicated with isolated oculomotor nerve disorder and was finally diagnosed as systemic lupus erythematosus (SLE). Based on the findings for oculomotor nerve paralysis and contrast-enhanced magnetic resonance imaging findings for the oculomotor nerve in the prepontine cistern, the isolated oculomotor nerve disorder was considered to be a manifestation of peripheral neuropathy. This oculomotor nerve disorder may contribute to the diagnosis of SLE and can be effectively treated with steroid pulse therapy. Reports of SLE manifesting as isolated oculomotor nerve paralysis are rare. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine, 2019

    一般社団法人 日本内科学会

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