Ulnar neuropathy in the forearm: A possible complication of diabetes mellitus.
Ulnar neuropathy in the forearm is an unusual cause of hand weakness and sensory loss that is most often attributed to compression of the nerve distally within the humero-ulnar arcade (cubital tunnel). An association with diabetes mellitus, however, has not been reported. We identified four patients with type I diabetes mellitus and clinical findings suggestive of ulnar neuropathy in whom electrophysiologic testing revealed partial conduction block or abnormal temporal dispersion within the forearm segment of the ulnar nerve. Although evidence for a mild underlying polyneuropathy was present in three patients, the ulnar nerve abnormalities were disproportionately severe. In all cases, a Martin-Grüber anastomosis was excluded. Whether this lesion is due to an increased propensity to focal compression of the ulnar nerve within the humero-ulnar arcade or whether it represents a localized manifestation of the generalized polyneuropathy remains to be determined.
Acosta
Juan A
JA
Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, TCC-810, Boston, Massachusetts 02215, USA.
Hoffman
Stuart N
SN
Raynor
Elizabeth M
EM
Nardin
Rachel A
RA
Rutkove
Seward B
SB
D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003929:Diabetic Neuropathies / Q000175:diagnosis* / Q000503:physiopathology; D004550:Elbow / Q000503:physiopathology; D004576:Electromyography; D004594:Electrophysiology; D005071:Evoked Potentials / Q000502:physiology; D005260:Female; D005542:Forearm; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000503:physiopathology; D008875:Middle Aged; D009431:Neural Conduction / Q000502:physiology; D014459:Ulnar Nerve / Q000503:physiopathology; D020424:Ulnar Neuropathies / Q000175:diagnosis* / Q000503:physiopathology