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Contenido en el Idioma Español de University of Maryland Medical Center

Mononeuropatía del III par craneal de tipo diabético - Symptom

Nombres alternativos

Parálisis del tercer nervio craneal en diabéticos; Parálisis del tercer nervio craneal preservador de la pupila

Síntomas:

Visión doble
Caída de un párpado (ptosis)
Dolor en la cabeza o detrás del ojo

Signos y exámenes:

Un examen de los ojos determinará si sólo el tercer par craneal está afectado o si también hay daño en otros nervios. Los signos pueden ser:

Ojos desalineados (mirada desacoplada)
Reacción pupilar que es casi siempre normal

El médico realizará una evaluación completa para determinar el posible efecto sobre otras partes del sistema nervioso. Dependiendo de la presunta causa, usted puede necesitar:

Exámenes de sangre
Exámenes para observar los vasos sanguíneos en el cerebro (angiografía cerebral, angiografía por tomografía computarizada, angiografía por resonancia magnética (ARM)
Resonancia magnética o tomografía computarizada del cerebro
Punción raquídea (punción lumbar)

Es posible que sea necesario que lo remitan a un médico especialista en problemas visuales relacionados con el sistema nervioso (neurooftalmólogo).

Sistema nervioso central

Reviewed last on: 6/15/2010
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Baloh RW. Neuro-ophthalmology. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 450.

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