Multiple cranial nerve palsies in an elderly diabetic

• Main Authors: Jency Maria Koshy, Anumeha Bhalla, Jeyaraj Pandian, Ashish Varghese, Uttam Braino George, Jubbin Jagan Jacob
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: CHRISMED Journal of Health and Research
• Subjects: Base of skull osteomyelitis; diabetes mellitus; multiple cranial nerve palsy
• Online Access: http://www.cjhr.org/article.asp?issn=2348-3334;year=2016;volume=3;issue=1;spage=65;epage=70;aulast=Koshy

A 60-year-old man presented with multiple cranial nerve palsies on the right side. He was initiated on anti-tubercular treatment in view of lymphocytic pleocytosis on the cerebrospinal fluid study. Although he improved initially, later he worsened with cranial nerve involvement on the contralateral side. A diagnostic procedure was done, and the team reached a definitive diagnosis and patient responded to the targeted therapy.