Proximal diabetic amyotrophy: case reports

Authors: Miriam Cingelová;  Tatiana Kováčiková
Authors‘ workplace: II. neurologická klinika LFUK a UNB, Nemocnica akad. L. Dérera, Bratislava
Published in: Forum Diab 2018; 7(3): 173-176
Category: Case Report


The case reports describe the incidence of a less frequent type of diabetic neuropathy – proximal diabetic amyotrophy, manifested by subacute arising of pain and the following rather rapid development of atrophy and muscle weakness of primarily the proximal muscles of the lumbar plexus. The clinical diagnosis was mainly based on patients’ clinical pictures. We used further auxiliary electrophysiological and imaging methodologies to eliminate other causes of peripheral nerve disorders. A basic therapeutic arrangement includes good compensation of diabetes mellitus and stabilization of organ complications, accompanied by symptomatic treatment of pain and pathogenetic therapy, in the area where we are expecting some significant progress in future. Long-term intensive rehabilitation also plays an important role in the treatment management.

Key words:

diabetes mellitus, diabetic neuropathy, intravenous immunoglobulins, proximal diabetic amyotrophy


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