Muscle wasting after prolonged hypoglycaemic coma: case report with electrophysiological data.
A case of distal muscle wasting associated with hypoglycaemia is described. Motor and sensory conduction studies are reported that provide little evidence of a hypoglycaemic peripheral neuropathy. Damage to anterior horn cells or motor roots appears to be a more likely explanation for the amyotrophy. Recovery occurred clinically with evidence of reinnervation by axonal collateral sprouting.
D007516:Adenoma, Islet Cell / Q000150:complications; D000328:Adult; D004576:Electromyography; D006801:Humans; D007003:Hypoglycemia / Q000150:complications*; D009046:Motor Neurons; D009133:Muscular Atrophy / Q000209:etiology* / Q000503:physiopathology; D009416:Nerve Regeneration; D009431:Neural Conduction; D010190:Pancreatic Neoplasms / Q000150:complications; D010525:Peripheral Nerves / Q000503:physiopathology