PM&R
Volume 1, Issue 8 , Pages 774-777 , August 2009

Evaluation and Rehabilitation of a Patient With Diabetic Lumbosacral Radiculoplexus Neuropathy

  • Jared S. Greenberg, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Hospital of the University of Pennsylvania, 3400 Spruce St., 5 West Gates Building, Philadelphia, PA 19104†
    • Corresponding Author InformationAddress correspondence to: J.G.
    • ,
  • Jaspal Singh, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Hospital of the University of Pennsylvania, Philadelphia, PA‡
    • ,
  • Natacha Falcon, DO

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Hospital of the University of Pennsylvania, Philadelphia, PA§

Received 20 December 2008 ,Accepted 23 May 2009.

References 

  1. Dyck PJB, Windebank AJ. Diabetic and nondiabetic lumbosacral radiculoplexus neuropathies: New insights into pathophysiology and treatment. Muscle Nerve. 2002;25:477–491
  2. Leedman PJ, Davis S, Harrison LC. Diabetic amyotrophy: reassessment of the clinical spectrum. Intern Med J. 2008;18:768–773
  3. Bansal V, Kalita J, Misra UK. Diabetic neuropathy. Postgrad Med J. 2006;82:95–100
  4. Filho JAF, Nathan BM, Palmert MR, Katirji B. Diabetic amyotrophy in an adolescent responsive to intravenous immunoglobulin. Muscle Nerve. 2005;32:818–820
  5. O'Harre JA. Prevalence and forms of neuropathic morbidity in 800 diabetics. Ir J Med Sci. 1994;163:132–135
  6. Dyck PJB, Norell JE, Dyck PJ. Microvasculitis and ischemia in diabetic lumbosacral radiculoplexus neuropathy. Neurology. 1999;53:2113–2121
  7. Bastron JA, Thomas JE. Diabetic polyradiculopathy: Clinical and electromyographic findings in 105 patients. Mayo Clin Proc. 1981;56:725–732
  8. Dyck PJB, Norell JE, Dyck PJ. Non-diabetic lumbosacral radiculoplexus neuropathy: Natural history, outcome and comparison with the diabetic variety. Brain. 2001;124:1197–1207
  9. Kelkar P, Masood M, Parry GJ. Distinctive pathologic findings in proximal diabetic neuropathy (diabetic amyotrophy). Neurology. 2000;55:83–88
  10. Dyck PJB, O'Brien PC, Bosch EP, et al. Results of a controlled trial of IV methylprednisolone in diabetic lumbosacral radiculoplexus neuropathy (DLRPN). J Periph Nerv Syst. 2005;10(Suppl):21;abstract
  11. Simmons Z, Feldman EL. Update on diabetic neuropathy. Curr Opin Neurol. 2002;15:595–603

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

PII: S1934-1482(09)00544-9

doi: 10.1016/j.pmrj.2009.05.012

PM&R
Volume 1, Issue 8 , Pages 774-777 , August 2009

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