title: An unusual presentation of diabetic amyotrophy: myoclonus.
abstract: Diabetic amyotrophy is a distinctive form of diabetic neuropathy. It is characterised by a weakness and wasting of proximal muscles of the lower limbs with associated pain. We report a case of an elderly patient with unusual presentation of diabetic amyotrophy. He presented with myoclonic jerks and recurrent falls. Examination findings and electrophysiological studies were consistent with a diagnosis of diabetic amyotrophy. He responded well to steroids with marked improvement in strength of the lower limb muscles and complete resolution of myoclonic jerks. Diabetic amyotrophy presenting as myoclonic jerks has been rarely reported before.
authors: Department of Neurology, Royal Preston Hospital, Preston, UK. drzaidi2007@gmail.com
authors: Syed Amir
authors: SA
authors: Zaidi
authors: Suresh Kumar
authors: SK
authors: Chhetri
authors: Godwin
authors: G
authors: Lekwuwa
authors: Tahir
authors: T
authors: Majeed
mesh_terms: D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003929:Diabetic Neuropathies / Q000150:complications / Q000175:diagnosis*; D004576:Electromyography; D006801:Humans; D035002:Lower Extremity; D008297:Male; D018908:Muscle Weakness / Q000175:diagnosis / Q000209:etiology; D009207:Myoclonus / Q000175:diagnosis* / Q000209:etiology
references: Neurology. 1993 Apr;43(4):817-24
references: 8469345
references: J Clin Neuromuscul Dis. 2003 Jun;4(4):168-70
references: 19078710
references: Neurol Clin. 2009 Aug;27(3):757-77, vii
references: 19555830
references: Neurology. 2004 Jul 27;63(2):E6
references: 15277659
references: J Neurol Neurosurg Psychiatry. 2002 Oct;73(4):457-8
references: 12235322
references: J Clin Neuromuscul Dis. 2009 Sep;11(1):44-8
references: 19730021
references: Arch Neurol. 1995 Nov;52(11):1053-61
references: 7487556
references: Clin Neurol Neurosurg. 2007 Oct;109(8):654-60
references: 17573186
references: J Neuropathol Exp Neurol. 2000 Jun;59(6):525-38
references: 10850865
references: Mayo Clin Proc. 1997 Dec;72(12):1123-32
references: 9413291
references: Muscle Nerve. 2001 Jun;24(6):794-8
references: 11360263
references: Q J Med. 1991 Apr;79(288):307-13
references: 1852856
references: Muscle Nerve. 2002 Apr;25(4):477-91
references: 11932965
references: Pain Med. 2009 Nov;10(8):1476-80
references: 19788714
references: Brain. 2001 Jun;124(Pt 6):1197-207
references: 11353735
references: Neurology. 1999 Dec 10;53(9):2113-21
references: 10599791
references: Curr Treat Options Neurol. 2010 Mar;12(2):95-9
references: 20842573
references: J Neurol Sci. 1982 Feb;53(2):293-304
references: 7057213