http://www.fpnotebook.com/

Mononeuropathy in DiabetesAka: Diabetic Focal Neuropathy

Background
1. Subtype of Diabetic Neuropathy
2. Sudden onset large nerve involvement
3. Associated with nerve infarction
Distribution: Common areas effected
1. Wrist drop (Radial Nerve)
2. Loss of finger flexion and grip (Median Nerve)
3. Foot drop (deep peroneal nerve, L4-L5)
4. Recurrent laryngeal nerve
5. Cranial Nerve palsy (CN 3, CN 4, CN 6)
  1. Ophthalmoplegia, Ptosis, Diplopia yet PERRLA (CN 3)
  2. Affected eye slightly more elevated (CN 4)
  3. Affected eye deviated medially (CN 6)
  4. Bell's Palsy (CN 7)
Course
1. Often resolves spontaneously in 3-12 months
Variant: Mononeuropathy Multiplex
1. Multiple nerves affected
2. Consider Vasculitis as cause
Differential Diagnosis
1. See Mononeuropathy

Navigation Tree

Please see the Terms and Conditions. Please also see the privacy statement regarding advertising on this page. Although access to this page is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians.

This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.