Weakness of unilateral lower limb s proximal muscle; diabetic amyotrophy coexisting with lumbar discopathy: Case report and review of the literature

Abstract

Diabetic amyotrophy is a relatively infrequent complication of diabetes mellitus is most often characterized by weakness of unilateral lower limb and pain. Clinical differentiation from lumbar disc herniation may be difficult. ıt was hereby presented; 64 year old male patient who has 15 year old history of diabetes mellitus and lumbar discopathy previously diagnosed. He had weakness of unilateral lower limb and pain. Patient was admitted right thigh pain and weakness of proximal lower limb muscle. The physical examination, magnetic resonance imaging and electromyographic examination of the patient was consistent with the diagnosis of diabetic amyotrophy. When diabetic amyotrophy and lumbar disc herniaton coexist as a pain source, which disease responsible from pain should be detected well and treatments should be arrenged according to responsible disease. Thus, unnecessary surgeries can be avoided.

Keywords

• Diabetes mellitus, lumbar disc herniation, diabetic amyotrophy

Tek taraflı alt ekstremite proksimal kas güçsüzlüğü; diyabetik amiyotrofi ve lomber diskopati birlikteliği: Olgu sunumu ve literatür derlemesi

Abstract

Diyabetin nadir bir komplikasyonu olan diyabetik amiyotrofi genellikle tek taraflı alt ekstremitede proksimal kas güçsüzlüğü ve ağrı ile seyreder. Klinik olarak lomber diskopatiden ayırımı zor olabilir. Bu olguda daha önce lomber diskopati tanısı konmuş ve 15 yıllık diyabetes mellitusu olan erkek hasta sunulmuştur. Hasta sağ uyluk bölgesinde ağrı, sağ alt ekstemite kas güçsüzlüğü şikayeti polikliniğe başvurdu. Hastaya fizik muayene, manyetik rezonans görüntüleme ve elektrofizyolojik çalışmalar sonunda Diabetik amiyotrofi tanısı konulmuştur. Özellikle ağrı nedeni olarak lomber diskopti ve diyabetik amiyotrofi birlikteliğinde hastanın şikayetinin hangi hastalıktan kaynaklandığının iyi belirlenmesi ve tedavinin ona göre düzenlenmesi sağlanmalıdır. Böylece gereksiz cerrahi müdahaleden kaçınılmış olur.

Keywords

• Diyabet, lomber diskopati, diyabetik amiyotrofi

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