糖尿病是一种常见的内分泌代谢疾病,其并发的神经病变中中枢神经及颅神经损害并不多见。国内已报告糖尿病颅神经病变者不足10例,且均为动眼神经损伤。同时合并有双颅神经损害者更为罕见。现报告如下。 患者,男性,65岁,12年前因多饮、多食、多尿诊断为“糖尿病”,经住院控制饮食及口服降糖药物治疗好转,并一直以口服降糖药物维持。6年前曾因出现复视,右眼球运动困难诊断为右侧动眼神经麻痹, Diabetes is a common endocrine and metabolic diseases, its concurrent neuropathy in central and cranial nerve damage is rare. China has reported less than 10 cases of diabetic cranial nerve lesions, and are oculomotor nerve injury. Combined with double cranial nerve damage are more rare. The report is as follows. The patient, male, 65 years old, diagnosed as “diabetes” due to drinking more, eating more, and polyuria 12 years ago. The hospital controlled diet and oral hypoglycemic drug treatment improved and has been maintained with oral hypoglycemic agents. 6 years ago because of diplopia, right eye movement difficulties diagnosed as right oculomotor nerve paralysis,