糖尿病并发动眼神经麻痹不少见，但大多于发现糖尿病后才有累及者。从1985年以来，我们发现5例以动眼神经麻痹为首发症状的糖尿病，现报告如下。1临床资料例1，女，34岁。因头痛伴左眼上睑下垂，视物模糊3天来院。无多饮、多食、多尿及消瘦病史。直体：BP16／skPa120／60mmHg） Diabetes and oculomotor paralysis is not uncommon, but mostly found after the onset of diabetes were involved. Since 1985, we found 5 cases of diabetic patients with oculomotor nerve paralysis as the first symptom, are reported as follows. 1 clinical data example 1, female, 34 years old. Due to headache with left eye ptosis, blurred vision 3 days to hospital. No more drink, eat more, more urine and weight loss history. Straight body: BP16 / skPa120 / 60mmHg)