Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
Monocular Oculomotor Nerve Disorder Manifesting as Cranial Neuropathy in Systemic Lupus Erythematosus: A Case Report
Kiyotaka NakamagoeHisami YanagihaZenshi MiyakeYuya KondoTakashi HiyamaAkiko IshiiYuichi KajiTetsuro OshikaTakayuki SumidaAkira Tamaoka
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JOURNALS OPEN ACCESS Advance online publication

Article ID: 1106-18


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.

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© 2019 by The Japanese Society of Internal Medicine
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