International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Since Year 2012 | Open Access | Double Blind Reviewed

ISSN: 2319-7064

Downloads: 117

Case Studies | Diabetology | India | Volume 7 Issue 1, January 2018

Diabetes Mellitus Presenting as One and Half Syndrome

Dr. Soumya Sathyan | Dr. K. Sriharsha

Abstract: Internuclearophthalmoplegia (INO) is a disorder of conjugate lateral gaze in which the affected eye shows impairment of adduction. When an attempt is made to gaze contralaterally the affected eye adducts minimally, if at all. The contralateral eye abducts however with nystagmus. Additionally the divergence of eyes leads to horizontal diplopia.51 year old male patient presented with diplopia, giddiness and vertigo with no significant past history. Ocular examination revealed loss of extraocular movements on left side and convergence nystagmus of right eye. HbA1c values suggestive of newly detected Diabetes mellitus. MRI and MRA was within normal limits. Patient was started on with oral hypoglycemic agents and steroids of 1mglkglday in divided doses. His symptoms started improving in a week. Diabetes Mellitus can be presented rarely with ONE AND HALF SYNDROME being the first presentation. Diabetic third nerve palsies may be caused by ischemia in midbrain or along peripheral nerve sparing the autonomic fibres. Thus it will be pupillary sparing ophthalmoplegia.


Edition: Volume 7 Issue 1, January 2018,

Pages: 1567 - 1567

How to Cite this Article?

Dr. Soumya Sathyan, Dr. K. Sriharsha, "Diabetes Mellitus Presenting as One and Half Syndrome", International Journal of Science and Research (IJSR), Volume 7 Issue 1, January 2018, pp. 1567-1567,

How to Share this Article?

Enter Your Email Address

Similar Articles with Keyword 'DIABETES'

Downloads: 0

Case Studies, Diabetology, Indonesia, Volume 11 Issue 2, February 2022

Pages: 48 - 51

Charcot's Neuroarthropathyin Type 2 Diabetes Mellitus Patient

Made Adikosha Pranata [5] | I GustiNgurah Mayura

Share this Article

Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Research Paper, Diabetology, India, Volume 11 Issue 5, May 2022

Pages: 751 - 754

Evaluation of Symptomatic Peripheral Neuropathy in Type 2 Diabetes Mellitus and its Correlation with Other Microvascular Complications

Dr. Keertan Chinthamaduka | Dr. P. V. Makwana

Share this Article