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문지수,김민정,김종국,유봉구 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.1
Oculomotor nerve palsy of acute onset with sparing of the pupil in older age is frequently associated with diabetes mellitus. A 73-year-old diabetic woman was admitted because of vertical diplopia and gait disturbance. Neurological examination showed that the left eye had decreased light reflex, dilated pupil, and limited adduction, supraduction and infraduction. Brain MRI and MRA were unremarkable. Two months after onset, movement, pupil size and light reflex of the patient's eyes were normal on examination. It is emphasized that the diabetic ophthalmoplegia can involve the pupil. We report a rare case of diabetic oculomotor nerve palsy with pupil involvement.