Diabetic thoracic radiculopathy: Electrodiagnostic study

Streib, Erich W.; Sun, Sallie F.; Paustian, Frederick F.; Gallagher, T. F.; Shipp, Joseph C.; Ecklund, Robert E.

doi:10.1002/mus.880090612

Cited by 33 publications

(9 citation statements)

References 17 publications

(2 reference statements)

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“…Similarly to DLSRPN, diabetic thoracic radiculoneuropathy usually affects patients in middle-to-late adulthood with type 2 diabetes mellitus [63][64][65][66][67] . Patients present with abrupt-onset pain extending from the back to the lateral torso, abdomen and/or chest.…”

Section: Diabetic Lumbosacral Radiculoplexus Neuropathymentioning

confidence: 99%

The nonsystemic vasculitic neuropathies

2017

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The vasculitides are a clinically diverse group of diseases with the histopathological signature of blood vessel-centred inflammation that results in vascular damage and ischaemic injury to the affected tissues 1 . Vasculitis can be caused by drugs, infections and cancers, but diagnostic workup reveals no trigger in most patients. Autoimmune mechanisms are active in all vasculitides, except those caused by direct infection of vessel walls. Most vasculitides are systemic and involve multiple organs and tissues. Those affecting small-to medium-sized vessels often manifest with a vasculitic neuropathy. For example, neuropathies occur in 60-70% of patients with polyarteritis nodosa, eosinophilic granulomatosis with polyangiitis and cryoglobulinaemic vasculitis, and 40-50% of those with microscopic polyangiitis and rheumatoid vasculitis 2 .Vasculitic neuropathy can also occur without systemic vasculitis. This single-organ vasculitis of the PNS has commonly been referred to as nonsystemic vasculitic neuropathy (NSVN), but other forms of clinically isolated PNS vasculitis are now recognized and can be considered variants of NSVN 3 . Although NSVN is classically an acute, relapsing, multifocal neuropathy, it can present as a slowly progressive neuropathy without distinct asymmetries. As such, it should be considered as a possible cause of any progressive axonal neur opathy. NSVN can be diagnosed only with a nerve biopsy, with or without a concomitant muscle or skin biopsy; as nerve biopsies are seldom performed, the condition is under-recognized. The disorder must be distinguished from many other causes of multifocal neuropathy, the definition of which is itself not standardized and requires clarification.A Peripheral Nerve Society guideline group reviewed the literature on vasculitic neuropathy and published consensus recommendations on the classification, diagnosis and immunosuppressive treatment of NSVN in 2010 (REF. 4) Abstract | Nonsystemic vasculitic neuropathy (NSVN) is an under-recognized single-organ vasculitis of peripheral nerves that can only be diagnosed with a nerve biopsy. A Peripheral Nerve Society guideline group published consensus recommendations on the classification, diagnosis and treatment of NSVN in 2010, and new diagnostic criteria for vasculitic neuropathy were developed by the Brighton Collaboration in 2015. In this Review, we provide an update on the classification, diagnosis and treatment of NSVN. NSVN subtypes include Wartenberg migratory sensory neuropathy and postsurgical inflammatory neuropathy. Variants include diabetic radiculoplexus neuropathy and -arguably -neuralgic amyotrophy. NSVN with proximal involvement is sometimes termed nondiabetic lumbosacral radiculoplexus neuropathy. Cutaneous polyarteritis nodosa and other skin-nerve vasculitides overlap with NSVN clinically. Three patterns of involvement in NSVN have been identified: multifocal neuropathy, distal symmetric polyneuropathy, and overlapping multifocal neuropathy (asymmetric polyneuropathy). These patterns lack standard defi...

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Section: Diabetic Lumbosacral Radiculoplexus Neuropathymentioning

confidence: 99%

The nonsystemic vasculitic neuropathies

2017

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“…Thoracic radiculopathy is a well‐established spinal disorder, but one that is frequently overlooked . It presents with band‐like abdominal or flank pain, and can usually be attributed to thoracic disc herniation, trauma, or diabetes . Rarer causes of thoracic radiculopathy which have been described in the literature include postthoracotomy, paravertebral mesothelial cyst, and myodil cyst .…”

Section: Discussionmentioning

confidence: 99%

Thoracic Radiculopathy Following Spinal Cord Stimulator Placement: Case Series

Mammis

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Mogilner

2013

Neuromodulation: Technology at the Neural Interface

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“…11,19,23 Approximately 12 % of patients develop thoracic radiculopathy, leading to radiating pain in the chest or abdomen and intercostal muscle weakness. 24,25 Respiratory weakness have also been described with this neuropathy. 26 …”

Section: Introductionmentioning

confidence: 89%

Diabetic Neuropathy Part 2

2013

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Diabetic neuropathies consist of a variety of syndromes resulting from different types of damage to peripheral or cranial nerves. Although distal symmetric polyneuropathy is most common type of diabetic neuropathy, there are many other subtypes of diabetic neuropathies which have been defined since the 1800’s. Included in these descriptions are patients with proximal diabetic, truncal, cranial, median, and ulnar neuropathies. Various theories have been proposed for the pathogenesis of these neuropathies. The treatment of most of these requires tight and stable glycemic control. Spontaneous recovery is seen in most of these conditions with diabetic control Immunotherapies have been tried in some of these conditions but are quite controversial.

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Diabetic thoracic radiculopathy: Electrodiagnostic study

Cited by 33 publications

References 17 publications

The nonsystemic vasculitic neuropathies

The nonsystemic vasculitic neuropathies

Thoracic Radiculopathy Following Spinal Cord Stimulator Placement: Case Series

Diabetic Neuropathy Part 2

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