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Rosenstein, E.D. et al.

Isolated, pupil-sparing third nerve palsy as initial manifestation of systemic lupus erythematosus.

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.[1]

References

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. (1989) [Pubmed]

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