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Immediate improvement of diabetic mononeuropathy after intravenous administration of prostaglandin E1.

AbstractThe effects of intravenously administered prostaglandin E1 (PGE1) on diabetic mononeuropathy was investigated in three patients with diabetic oculomotor palsy. PGE1 (1.0-1.5 micrograms/day) was intravenously administered every morning for 4 or 6 weeks. Diplopia, blepharoptosis and decreased range of ocular movement, which were observed on admission, immediately began to improve at 1-4 days after the beginning of the treatment. On the final day of the treatment, none of the above signs remained in the three cases. The present study suggests that improvement of intraneural microcirculation by PGE1 administration results in an immediate recovery from diabetic oculomotor nerve palsy.
AuthorsH Shimizu, Y Shimomura, T Inukai, M Takahashi, Y Uehara, I Kobayashi, S Kobayashi (Affiliation: First Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Japan.)
JournalJapanese journal of medicine (Jpn J Med) 1990 Mar-Apr Vol. 29 Issue 2 Pg. 222-5 ISSN: 0021-5120 JAPAN
PMID2232371 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Alprostadil
Topics
  • Aged
  • Alprostadil (administration & dosage, therapeutic use)
  • Diabetes Mellitus, Type 2 (complications)
  • Diabetic Neuropathies (drug therapy, etiology)
  • Female
  • Humans
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Oculomotor Nerve Diseases (drug therapy, etiology)