LES ATTEINTES OCULOMOTRICES AU COURS DU DIABETE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 12
Abstract
Le but de notre travail est de souligner l?importance de l??quilibre glyc?mique, et de la correction des facteurs de risque vasculaires dans le traitement et la pr?vention des paralysies oculomotrices au cours du diab?te (POM) ainsi que l?int?r?t de l?examen de la motilit? oculaire chez tout sujet diab?tique et la n?cessit? d?un bilan ?tiologique devant toute POM diab?tique afin d??carter une urgence neurochirurgicale . Mat?riel et m?thodes : Nous rapportons une s?rie de 7patients diab?tiques, atteints de paralysie oculomotrice, collig?s au service d\'endocrinologie ? diab?tologie du CHU Med VI de Marrakech entre 2013 et 2018. R?sultats : Notre ?tude a port? sur 2 hommes et 5 femmes. L\'?ge moyen ?tait de 49 ans et 8 mois. Le diab?te ?tait de type I dans1 cas et de type II dans 6 cas. L\'examen de la motilit? oculaire a objectiv? une paralysie du VI unilat?rale dans 2 cas, une paralysie du IV dans 3 cas et une paralysie du III dans 6 cas . La tomodensitom?trie c?r?brale s\'est r?v?l?e normale dans tout les cas. L\'?volution s\'est faite vers la r?cup?ration progressive mais pas totale de la paralysie apr?s une moyenne de 5 mois de traitement par occlusion altern?e. Conclusion : L?installation de la paralysie oculomotrice diab?tique est relativement lente et peux ?tre pr?c?d?e de douleurs oculaires, p?riorbitaires ou m?me h?micr?niennes homolat?rales. Son ?volution est favorable en quelques semaines ou mois, mais la r?cidive du m?me c?t? ou du c?t? controlat?ral est possible.
Authors and Affiliations
H. Moata, G. El mghari, N. el Ansari.
Keywords
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- EP ID EP436673
- DOI 10.21474/IJAR01/8215
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