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Treatable lumbosacral polyradiculitis masquerading as diabetic amyotrophy.

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.

journal_name

J Neurol Sci

journal_title

Journal of the neurological sciences

authors

O'Neill BJ,Flanders AE,Escandon SL,Tahmoush AJ

doi

10.1016/s0022-510x(97)00114-7

subject

Has Abstract

pub_date

1997-10-22 00:00:00

pages

223-5

issue

2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(97)00114-7

journal_volume

151

pub_type

杂志文章

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