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Published on: May 25, 2020
Ocular palsies in children with diabetes mellitus
Insights
Sudden ocular palsies in children may indicate diabetes mellitus. Early examination for this condition is recommended, as recovery times vary, with some cases requiring surgery.
Area of Science:
- Pediatric Neurology
- Endocrinology
Background:
- Ocular palsies can present in children with various underlying causes.
- Diabetes mellitus is a metabolic disorder with potential systemic complications.
Observation:
- Three pediatric cases of sudden onset ocular palsies were analyzed.
- Two patients had insulin-requiring diabetes; one had an abnormal intravenous glucose tolerance test.
Findings:
- Resolution times for ocular palsies varied significantly among the patients.
- One case resolved in four weeks, another persisted for 21 months, and a third required surgical intervention after seven months.
Implications:
- Sudden ocular palsy in children warrants investigation for underlying diabetes mellitus.
- Prompt diagnosis and management of diabetes may influence ocular motility recovery.
- This highlights the importance of a comprehensive metabolic workup for new-onset neurological deficits in pediatric patients.
Abstract:
The findings in three children with ocular palsies are reported in this paper. Two had insulin-requiring diabetes and one demonstrated only an abnormal I.V. glucose tolerance test. In the first patient the condition resolved in four weeks; in the second it had not fully resolved after 21 months, and in the third patient surgery was required for correction after seven months. We suggest that any child who develops a sudden ocular palsy should be examined for diabetes mellitus.
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