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Diabetic muscle infarction in a patient with acute embolic stroke

Eason Huang1, Cheng-Feng Ho, Ping-Keung Yip

  • 1Neurological Center, Cardinal Tien Hospital, No 362, Chung Cheng Road, Hsintien, Taipei, 23137, Taiwan.

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|November 20, 2009
PubMed

Insights

Diabetic muscle infarction (DMI) is a rare complication of diabetes mellitus. Early recognition through characteristic MRI findings and clinical awareness is crucial for prompt treatment and recovery.

Area of Science:

  • Endocrinology
  • Musculoskeletal Medicine
  • Diagnostic Imaging

Background:

  • Diabetic mellitus (DM) is a prevalent condition with numerous known complications.
  • Diabetic muscle infarction (DMI) is an uncommon yet significant complication, often underdiagnosed.
  • Poorly controlled diabetes mellitus is a primary risk factor for DMI development.

Observation:

  • A 53-year-old male with a history of DM, hypertension, and atrial fibrillation presented with acute left lower leg pain and swelling.
  • Physical examination revealed non-pitting, non-erythematous swelling with cold sensation in the left medial calf.
  • Magnetic resonance imaging (MRI) demonstrated homogenous high signal intensity on T2-weighted images in the affected calf muscles.

Findings:

  • The clinical presentation and MRI findings were indicative of diabetic muscle infarction (DMI).
  • The patient received anticoagulation therapy for the condition.
  • The patient showed a fair recovery within 4 weeks, regaining independent ambulation.

Implications:

  • DMI, though rare, presents with distinct clinical and imaging characteristics.
  • Increased clinical suspicion and awareness are vital for the early diagnosis of DMI.
  • Timely diagnosis and appropriate treatment, such as anticoagulation, can lead to favorable patient outcomes.

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