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A 56-Year-Old Woman with Small-Fiber Neuropathy and Progressive Leg Pain and Weakness 

A 56-Year-Old Woman with Small-Fiber Neuropathy and Progressive Leg Pain and Weakness
Chapter:
A 56-Year-Old Woman with Small-Fiber Neuropathy and Progressive Leg Pain and Weakness
Author(s):

Jeffrey A. Cohen

, Justin J. Mowchun

, Victoria H. Lawson

, and Nathaniel M. Robbins

DOI:
10.1093/med/9780190491901.003.0021
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date: 17 June 2021

The sudden onset of leg weakness and pain may be mistaken for an acute lumbosacral radiculopathy due to a herniated disc. However, in diabetics it is also essential to consider the entity of Bruns-Farland syndrome, or diabetic lumbosacral plexopathy (DLSP). DLSP is uncommon compared with lumbosacral radiculopathy, so delays in diagnosis are the rule rather than the exception. In this chapter we present the clinical characteristics of DLSP and the key features that can help with making a prompt diagnosis. The use of nerve conduction studies and EMG for confirmation of DLSP is reviewed. Treatment options and controversies are discussed.

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