June 2016 Video Challenge: Subacute Severe Pelvis and Anterior Thigh Pain

By Aziz Shaibani, MD, FACP, FAAN, FANA

A 55-year-old diabetic woman presented with subacute severe right pelvis and anterior thigh pain that was followed by weakness of bilateral quadriceps. Two months later, she experienced weakness of the hip flexors. She had no ankle or knee reflexes. LS MRI showed mild degenerative disease of the spines. Her diabetes mellitus was well controlled.

The most likely diagnosis was:

1. LS polyradiculopathy
2. Vasculitis
3. Atypical polymyositis
4. Diabetic amyotrophy
5. Arachnoiditis

Click here for the answer


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Launched in January 2002, Practical Neurology strives to enhance quality of care and improve the daily operation of neurology practices. Each month, our experts explain the real-world significance of recent advances in neurologic science and offer step-by-step advice on how to overcome the clinical and business challenges neurologists face. Our straightforward, how-to articles give neurologists tools they can put into practice right away.