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Mononeuropatía del III par craneal de tipo diabético - Treatment

Nombres alternativos

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

Tratamiento:

No hay tratamiento específico para corregir la lesión al nervio.

Los tratamientos pueden abarcar:

  • Estricto control de los niveles de azúcar en la sangre
  • Parche en los ojos o gafas con prismas para reducir la visión doble
  • Medicamentos para el dolor
  • Cirugía para corregir la caída del párpado o los ojos desalineados

Algunas personas se pueden recuperar sin necesidad de tratamiento.

Expectativas (pronóstico):

Muchos pacientes mejoran en 3 a 6 meses, aunque algunos presentan debilidad permanente de los músculos oculares.

Complicaciones:

  • Caída permanente del párpado
  • Cambios permanentes en la visión

Situaciones que requieren asistencia médica:

Consulte con el médico si presenta visión doble y no desaparece en pocos minutos, especialmente si también experimenta caída del párpado.

  • 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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