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Diabetes Ketoacidosis Complicating as Wrist Drop: A Case Report on Acute Motor Neuropathy

Diabetic ketoacidosis (DKA) is an acute and major complication of diabetes mellitus. Neurological complications can be seen at any time during the course of illness and range from decreased consciousness to ischemic or hemorrhagic stroke. Acute neuropathy is very rare in this milieu. Here, we report...

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Autores principales: Arora, Shreya, Gupta, Shivani, Jesrani, Gautam, Saini, Ruchika, Gupta, Monica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432426/
https://www.ncbi.nlm.nih.gov/pubmed/34527468
http://dx.doi.org/10.7759/cureus.17081
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author Arora, Shreya
Gupta, Shivani
Jesrani, Gautam
Saini, Ruchika
Gupta, Monica
author_facet Arora, Shreya
Gupta, Shivani
Jesrani, Gautam
Saini, Ruchika
Gupta, Monica
author_sort Arora, Shreya
collection PubMed
description Diabetic ketoacidosis (DKA) is an acute and major complication of diabetes mellitus. Neurological complications can be seen at any time during the course of illness and range from decreased consciousness to ischemic or hemorrhagic stroke. Acute neuropathy is very rare in this milieu. Here, we report a case of a 40-year-old patient, who developed a left-sided wrist drop after being treated for DKA. The nerve conduction velocity studies demonstrated decreased action potential amplitude in only the motor component of the left radial nerve. Other possible causes of the complaint were ruled out and the patient was managed with cock-up splint, vitamin B1 and B6 supplementation, and physiotherapy. Despite all these measures, the patient had minimal improvement. Thus, close monitoring of patients is crucial to identify these infirmities, even after the acute condition has resolved.
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spelling pubmed-84324262021-09-14 Diabetes Ketoacidosis Complicating as Wrist Drop: A Case Report on Acute Motor Neuropathy Arora, Shreya Gupta, Shivani Jesrani, Gautam Saini, Ruchika Gupta, Monica Cureus Endocrinology/Diabetes/Metabolism Diabetic ketoacidosis (DKA) is an acute and major complication of diabetes mellitus. Neurological complications can be seen at any time during the course of illness and range from decreased consciousness to ischemic or hemorrhagic stroke. Acute neuropathy is very rare in this milieu. Here, we report a case of a 40-year-old patient, who developed a left-sided wrist drop after being treated for DKA. The nerve conduction velocity studies demonstrated decreased action potential amplitude in only the motor component of the left radial nerve. Other possible causes of the complaint were ruled out and the patient was managed with cock-up splint, vitamin B1 and B6 supplementation, and physiotherapy. Despite all these measures, the patient had minimal improvement. Thus, close monitoring of patients is crucial to identify these infirmities, even after the acute condition has resolved. Cureus 2021-08-11 /pmc/articles/PMC8432426/ /pubmed/34527468 http://dx.doi.org/10.7759/cureus.17081 Text en Copyright © 2021, Arora et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Arora, Shreya
Gupta, Shivani
Jesrani, Gautam
Saini, Ruchika
Gupta, Monica
Diabetes Ketoacidosis Complicating as Wrist Drop: A Case Report on Acute Motor Neuropathy
title Diabetes Ketoacidosis Complicating as Wrist Drop: A Case Report on Acute Motor Neuropathy
title_full Diabetes Ketoacidosis Complicating as Wrist Drop: A Case Report on Acute Motor Neuropathy
title_fullStr Diabetes Ketoacidosis Complicating as Wrist Drop: A Case Report on Acute Motor Neuropathy
title_full_unstemmed Diabetes Ketoacidosis Complicating as Wrist Drop: A Case Report on Acute Motor Neuropathy
title_short Diabetes Ketoacidosis Complicating as Wrist Drop: A Case Report on Acute Motor Neuropathy
title_sort diabetes ketoacidosis complicating as wrist drop: a case report on acute motor neuropathy
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432426/
https://www.ncbi.nlm.nih.gov/pubmed/34527468
http://dx.doi.org/10.7759/cureus.17081
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