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A Case of Diabetic Neuropathy Combined with Guillain-Barre Syndrome
- Source :
- The Korean Journal of Internal Medicine
- Publication Year :
- 2010
- Publisher :
- The Korean Association of Internal Medicine, 2010.
-
Abstract
- A 59-year-old man was admitted with numbness, pain, and a tingling sensation in both lower legs. He was initially diagnosed with diabetic peripheral neuropathy based on a symptom questionnaire and a quantitative sensory test. Despite symptomatic treatment of diabetic neuropathy, he complained of worsening sensory symptoms and additional motor weakness in both lower extremities. As the motor weakness of both extremities became more aggravated over time, brain and spine imaging tests and a nerve conduction test were performed. The nerve conduction study revealed motor and sensory axonal neuropathy. In his cerebrospinal analysis, albumino-cytologic dissociation, which is compatible to the Gillian-Barre syndrome, was found. Cerebrospinal fluid analysis showed albumino-cytologic dissociation. He was treated with intravenous immunoglobulin and his neurologic deficits were gradually improved.
- Subjects :
- Male
medicine.medical_specialty
Weakness
Sensory axonal neuropathy
Diabetic neuropathy
Neural Conduction
Case Report
Electromyography
Guillain-Barre syndrome
Diabetes mellitus
Diabetic Neuropathies
medicine
Humans
Neurologic Examination
medicine.diagnostic_test
business.industry
Middle Aged
medicine.disease
Surgery
Peripheral neuropathy
Nerve conduction study
medicine.symptom
business
Subjects
Details
- Language :
- English
- ISSN :
- 20056648 and 12263303
- Volume :
- 25
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- The Korean Journal of Internal Medicine
- Accession number :
- edsair.doi.dedup.....43fa23d9f212675f2e10d6442dc5bf27