Simultaneous Oculomotor and Facial Nerve Palsies in a Patient with Systemic Lupus Erythematosus and Sjögren’s Syndrome

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ID: 9942
2019
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Abstract
A 70-year-old man with systemic lupus erythematosus (SLE) presented with simultaneous right oculomotor nerve palsy and right facial nerve palsy. Brain magnetic resonance imaging and cerebrospinal fluid analysis revealed no abnormality. Coexistent Sjögren’s syndrome was diagnosed on the basis of anti-SS-A antibody positivity, salivary gland scintigraphy, and histological findings on minor salivary gland biopsy. As there was no obvious cause of multiple cranial neuropathies, we supposed that the palsies were induced by either of the underlying diseases. The patient was treated with a high-dose of prednisolone and intravenous cyclophosphamide, and both palsies recovered almost completely within two weeks.
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natsuki2019simultaneouscase Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Shima, Natsuki;Murosaki, Takamasa;Yamamoto, Shotaro;Miyanaga, Akiko;Kusaka, Hiroi;Nagatani, Katsuya;Nagashima, Takao;Sawada, Mikio;Iwamoto, Masahiro;Minota, Seiji;Shima, Natsuki;Murosaki, Takamasa;Yamamoto, Shotaro;Miyanaga, Akiko;Kusaka, Hiroi;Nagatani, Katsuya;Nagashima, Takao;Sawada, Mikio;Iwamoto, Masahiro;Minota, Seiji;
Journal case reports in rheumatology
Year 2019
DOI
10.1155/2019/4156781
URL
https://www.hindawi.com/journals/crirh/2019/4156781/abs/
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