Diabetic Neuropathies

Aaron Izenberg, MD, FRCPC; Bruce A. Perkins, MD, MPH, FRCPC; Vera Bril, MD, FRCPC


Semin Neurol. 2015;35(4):424-430. 

In This Article

Cranial Neuropathies

Patients with diabetes mellitus can develop neuropathy affecting the third, fourth, sixth, or seventh cranial nerves. Oculomotor neuropathy is the most common manifestation. The presentation is usually that of a noncompressive, fascicular oculomotor neuropathy. Patients have unilateral ptosis and limitation of supraduction, infraduction, and adduction with sparing of the pupillary light response. Some patients will also experience retro-orbital pain.