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Spinal-cord involvement in diabetic peripheral neuropathy

HEATON S; HARRIS ND; RAJBHANDARI SM
LANCET , 2001, vol. 358, n° 9275, p. 35-36
Doc n°: 102742
Localisation : Documentation IRR
Descripteurs : AC243 - NEUROPATHIE DIABETIQUE

The pathogenesis of diabetic distal symmetrical polyneuropathy (DSP) is poorly understood but there is some evidence that the disease process might extend beyond peripheral nerves. We used magnetic-resonance imaging to measure spinal-cord cross-sectional area in diabetic patients with and without DSP and in healthy controls.
There were significant differences in cord area between the groups at C4/5 and T3/4 (p=0.004 and p=0.033, respectively), with a smaller cord area in those with DSP compared with controls (p=0.001 and p=0.016 for C4/5 and T3/4, respectively). These results indicate that DSP is not simply a disease of the peripheral nerve and that there is substantial involvement of the spinal cord.

Langue : ANGLAIS

Tiré à part : OUI

Identifiant basis : 2001218822

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