强化血糖管理后合并急性糖尿病神经病变。

IF 2.4 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2024-09-04 DOI:10.1136/pn-2024-004262

Weverton Carlos Da Silva Teixeira, José Pedro Soares Baima, Angelina Maria Martins Lino

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引用次数: 0

摘要

虽然急性和单相糖尿病神经病变被认为相对不常见，但糖尿病影响着全球 6% 以上的人口，其中超过 50% 的人经历过某种形式的糖尿病神经病变。治疗诱发的糖尿病神经病变是一种先天性、短暂性神经病变，其特点是血糖控制过快导致小纤维受累。糖尿病腰骶部神经根病是一种不对称的、主要是下肢运动神经病变，通常以局部腿部疼痛开始。我们为您介绍一名 59 岁的男子，他在 3 个月内糖化血红蛋白下降了 12.5%，并同时表现出这两种病症的特征。

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Combination of acute diabetic neuropathies following intensive glycaemic management.

While acute and monophasic diabetic neuropathy variants are considered relatively uncommon, diabetes mellitus affects over 6% of the global population, with more than 50% experiencing some form of diabetic neuropathy. Treatment-induced neuropathy of diabetes is an iatrogenic, transient neuropathy characterised by small fibre involvement precipitated by rapid glycaemic control. Diabetic lumbosacral radiculoplexus neuropathy is an asymmetric, predominantly motor neuropathy of the lower limbs, typically starting with localised leg pain. We present a 59-year-old man manifesting features of both conditions following a 12.5% decrease in glycated haemoglobin over 3 months.

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.