How does distal symmetrical polyneuropathy (DSPN) affect the onset of diabetic lumbosacral plexopathy?

Updated: Jan 04, 2021
  • Author: Divakara Kedlaya, MBBS; Chief Editor: Milton J Klein, DO, MBA  more...
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Answer

Patients may have underlying distal symmetrical polyneuropathy (DSPN). Gradual onset with bilateral presentation is typical in individuals with DSPN; patients are usually insulin dependent. However, patients without DSPN most often have a sudden, unilateral onset. This symptom is sometimes the initial presenting feature of diabetes mellitus. [29]


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