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Diabetic thoracoabdominal neuropathy: clinical and electrodiagnostic features
Annals of Neurology
|January 1, 1981
Summary
Diabetic patients can experience thoracoabdominal neuropathy causing pain and weakness. This condition, similar to diabetic amyotrophy, may be more common than previously thought.
Area of Science:
- Neurology
- Endocrinology
- Diabetology
Background:
- Diabetic amyotrophy is a known complication of diabetes.
- The spectrum of diabetic neuropathy is not fully understood.
Purpose of the Study:
- To describe a distinct syndrome of thoracoabdominal somatic neuropathy in diabetic patients.
- To differentiate this syndrome from diabetic amyotrophy.
Main Methods:
- Case series of five diabetic patients presenting with specific symptoms.
- Electrophysiological studies to assess nerve function.
- Clinical examination for neurological deficits.
Main Results:
- All patients had thoracoabdominal somatic neuropathy.
- Three patients experienced significant weight loss.
- Two patients showed signs of generalized neuropathy.
- Four patients had asymmetrical proximal leg weakness.
Conclusions:
- A thoracoabdominal somatic neuropathy syndrome exists in diabetic patients.
- This syndrome is closely related to diabetic amyotrophy.
- The condition may be underdiagnosed.