Thoracic root pain in diabetes: The spectrum of clinical and electromyographic findings

Kikta, Donald G.; Breuer, Anthony C.; Wilbourn, Asa J.

doi:10.1002/ana.410110114

Cited by 79 publications

(28 citation statements)

References 19 publications

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“…Electrophysiology. Electromyography demonstrates denervation potentials in the intercostal, anterior abdominal wall, and paraspinal muscles (133). There are no reported conduction studies of the intercostal nerves in this condition.…”

Section: Diabetic Truncal Radiculoneuropathymentioning

confidence: 86%

Diabetic Somatic Neuropathies

et al. 2004

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Section: Diabetic Truncal Radiculoneuropathymentioning

confidence: 86%

Diabetic Somatic Neuropathies

et al. 2004

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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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“…Others have described patchy sensory abnormalities not involving the entire dermatome [2,6,7,151. In the present series full dermatomal sensory loss occurred in just over one-third of the episodes, the more restricted patterns being more common.…”

Section: Discussionmentioning

confidence: 99%

Diabetic truncal neuropathy: Topography of the sensory deficit

Stewart

1989

Annals of Neurology

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The distributions of sensory abnormalities in 17 episodes of diabetic truncal neuropathy among 7 patients with diabetes mellitus are described. The patterns are highly variable: the distribution of adjacent main spinal nerves may be involved, resulting in a complete dermatomal band of dysesthesia, but almost two-thirds of the episodes were restricted to the distribution of the ventral or dorsal rami of the spinal nerves or branches of these rami or varying combinations of these distributions.

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Thoracic root pain in diabetes: The spectrum of clinical and electromyographic findings

Cited by 79 publications

References 19 publications

Diabetic Somatic Neuropathies

Diabetic Somatic Neuropathies

The nonsystemic vasculitic neuropathies

Diabetic truncal neuropathy: Topography of the sensory deficit

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