Isolated, pupil-sparing third nerve palsy as initial manifestation of systemic lupus erythematosus
Rosenstein, E.D.; Sobelman, J.; Kramer, N.
Journal of Clinical Neuro-Ophthalmology 9(4): 285-288
1989
ISSN/ISBN: 0272-846X PMID: 2531170 Document Number: 346821
A 29-year-old woman had an isolated, pupil-sparing third cranial nerve palsy. Serologic and CSF abnormalities and the subsequent course were consistent with systemic lupus erythematosus. Corticosteroid therapy resulted in improvement of ocular palsy within 4 weeks. The pathogenesis of cranial neuropathy in systemic lupus erythematosus and the unique presentation in this patient are discussed.
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