Treatable lumbosacral polyradiculitis masquerading as diabetic amyotrophy.
J Neurol Sci
; 151(2): 223-5, 1997 Oct 22.
Article
em En
| MEDLINE
| ID: mdl-9349680
ABSTRACT
Patients with diabetic amyotrophy may have an inflammatory vasculopathy and may obtain reversal of neurological deficits with immunosuppression. We present a patient with NIDDM, subacute onset of painful asymmetric polyradiculopathy, and unilateral enhancement of lumbar nerve roots on MRI. Clinical improvement and resolution of nerve root enhancement occurred with immunosuppression. We suggest, therefore, that nerve biopsy and gadolinum-enhanced lumbosacral MRI be performed in all patients presenting with diabetic amyotrophy. If nerve root enhancement is present or if nerve biopsy shows perivascular infiltrates, we recommend a trial of immunosuppression.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Polirradiculopatia
/
Neuropatias Diabéticas
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Neurol Sci
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Estados Unidos