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 2002, Practical Neurology is a publication uniquely dedicated to presenting current approaches to patient management, synthesis of emerging research and data, and analysis of industry news with a goal to facilitate practical application and improved clinical practice for all neurologists. Our straightforward articles give neurologists tools they can immediately put into practice.