A Rare Complication of Diabetes Mellitus: Bruns-Garland Syndrome (Diabetic Amyotrophy)
1Department of Neurology, Şırnak Silopi State Hospital, Şırnak, Türkiye
2Department of Neurology, Dicle University Faculty of Medicine, Diyarbakır, Türkiye
J Clin Pract Res 2023; 45(6): 644-647 DOI: 10.14744/cpr.2023.88598
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Background: Diabetic amyotrophy, also known as diabetic proximal neuropathy, is a rare neuropathic complication of diabetes mellitus. It is most commonly characterized by severe pain in the hip and thigh, followed by asymmetric weakness and wasting of the proximal muscles of the lower limbs.
Case Report: This paper presents the case of a 68-year-old man with an 8-month history of poorly controlled Type-2 diabetes mellitus who developed progressive asymmetrical weak-ness and atrophy in his left thigh. After a physical examination, magnetic resonance imag-ing, and electrophysiological studies, diabetic amyotrophy was diagnosed.
Conclusion: Physicians should consider the possibility of diabetic amyotrophy in patients with diabetes mellitus who exhibit primary involvement of proximal muscles of the lower limbs, marked by pain, weakness, and atrophy.