question-icon

Suggest treatment for lumbar pain and double vision in a diabetic

default
Posted on Tue, 7 Jun 2016
Question: My 75 year old husband with a hx of diabetes, graft for AAA aneurysm in 2003, high bp has had double vision for now one month. He had an episode of this problem about 6 years ago but it resolved itself within two weeks. Hes had a headache for about three weeks constantly...has gotten better just a bit but still there...negative CT, MRI Brain & MRA done within two weeks of today. We will be seeing a neurosurgeon (previously scheduled to all of this) for lumbar pain. He was also seen by his Opthalmologist after onset of
double vision...right eye drifts to outer corner, tried prism, hasn't helped. Can you advise what our next move should be to get him help ...Thank you!!!

doctor
Answered by Dr. Neeraj Kumar (15 minutes later)
Brief Answer:
Take steps as advised and consult a neurologist also apart from the neurosurgeon..

Detailed Answer:
Hello, Welcome to HCM,
I have gone through your question and understand your concerns.

In view of negative imaging and diabetes possibility of diabetic cranial neuropathy involving Right Third nerve is most likely.

The treatment in the form of steroid with blood sugar control can be taken.

If prism use is not beneficial then alternate covering of eye for few hours may be helpful.

The recovery occurs in few weeks to less than 3 months.

Adequate blood sugar control is vital.

Hope you found the answer helpful.
Do get back to me for further queries.

Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Neeraj Kumar (52 minutes later)
Thank you so much for helping us. I have been trying to get him scheduled with a neurologist but the two I have contacted are scheduling in XXXXXXX One neurologist that he has seen in the past were not able to schedule him any sooner. I hope that the neurosurgeon that he will see Monday will perhaps get him scheduled at an earlier date. Again, its been so helpful (mentally for me!!) to just have someone hear what we've been trying to explain to someone!! Maybe I can sleep tonight :)
doctor
Answered by Dr. Neeraj Kumar (17 hours later)
Brief Answer:
Get evaluated by neurosurgeon on schedule appointment

Detailed Answer:
Hello,
Visit the neurosurgeon on schedule appointment.
He will be able to examine and investigate both back pain and diplopia issue.
Till then you can give him pain killers.
Hope he recovers soon.
Wishing him good health.
Regards
Dr N Kumar
Above answer was peer-reviewed by : Dr. Deepak
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for lumbar pain and double vision in a diabetic

Brief Answer: Take steps as advised and consult a neurologist also apart from the neurosurgeon.. Detailed Answer: Hello, Welcome to HCM, I have gone through your question and understand your concerns. In view of negative imaging and diabetes possibility of diabetic cranial neuropathy involving Right Third nerve is most likely. The treatment in the form of steroid with blood sugar control can be taken. If prism use is not beneficial then alternate covering of eye for few hours may be helpful. The recovery occurs in few weeks to less than 3 months. Adequate blood sugar control is vital. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar Neurologist