Diabetic amyotrophic neuralgia
Küçük Resim Yok
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amyotrophic neuralgia is an idiopathic and inflammmatory neuropathy characterizedby acute-subacute onset of pain and weakness. It can rarely occur in diabetic patients as a form ofdiabetic neuropathy. In this study, we aimed to present clinical, electromyographic and radiologicalfeatures of a case with diabetic amyotrophic neuralgia. A 58-years-old female patient was admittedto our department with low back pain. Her medical history revealed that the pain had startedone month ago and radiated from the low back to the bilateral hips and left lower extremity significantly.Visual Analogue Scale (VAS) score of low back pain was 100 mm. She also reported thatshe had the diagnosis of diabetes mellitus for score ten years. On physical examination; the movementsof the lower back were decreased and painful. The muscle strength of lower extremities were1+/5 proximally and 2+/5 distally. Electromyographic assesment was compatible with sensory-motoraxonal polineuropathy on lower extremity and diabetic amyotrophic neuralgia. A medical treatmentconsisting of pregabalin as 150 mg daily was administered. Severity of low back pain decreased to 10mm after the treatment. Clinicians should take into consideration this pathology in patients with diabetesmellitus, pain and weakness. Electromyography and Magnetic Resonance Imaging (MRI) findingscan be useful in differential diagnosis.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Rehabilitasyon
Kaynak
Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
3