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  • Title: Isolated, pupil-sparing third nerve palsy as initial manifestation of systemic lupus erythematosus.
    Author: Rosenstein ED, Sobelman J, Kramer N.
    Journal: J Clin Neuroophthalmol; 1989 Dec; 9(4):285-8. PubMed ID: 2531170.
    Abstract:
    A 29-year-old woman had an isolated, pupil-sparing third cranial nerve palsy. Serologic and CSF abnormalities and the subsequent course were consistent with systemic lupus erythematosus. Corticosteroid therapy resulted in improvement of ocular palsy within 4 weeks. The pathogenesis of cranial neuropathy in systemic lupus erythematosus and the unique presentation in this patient are discussed.
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