Chapter

Focal and multifocal diabetic neuropathies

Solomon Tesfaye

in Diabetic Neuropathy

Published on behalf of Oxford University Press

ISBN: 9780199551064
Published online May 2011 | e-ISBN: 9780199607303 | DOI: http://dx.doi.org/10.1093/med/9780199551064.003.0008

Series: Oxford Diabetes Library

Focal and multifocal diabetic neuropathies

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• Focal and multifocal neuropathies are relatively uncommon compared to diabetic peripheral neuropathy (DPN) and are unrelated to the presence of other microvascular complications. • They are characterized by a relatively rapid onset, and complete recovery is usual. • Proximal motor neuropathy affects patients over the age of 50 and is usually characterized by pain and weakness in the quadriceps. It has a relatively good prognosis with pain resolving within 1 year though residual discomfort may persist for a couple of years. • The third cranial nerve palsy has a sudden onset but complete recovery is usual. • Carpal tunnel syndrome is more common in diabetes and treatment involves surgical decompression of the carpel tunnel in the wrist. The long-term outlook to surgery is generally good.

Chapter.  2103 words.  Illustrated.

Subjects: Endocrinology and Diabetes

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