TY  - CHAP
M1  - Book, Section
TI  - Mostly Somatosensory
A1  - Brust, John C. M. 
PY  - 1
T2  - Practice of Neural Science: A Case-Based Approach
AB  - During  a  routine  examination,  a  30-year-old  man  is  found  to  have  diabetes  mellitus.  Hyperglycemia  is  controlled  with  diet  and  oral  hypoglycemic  agents  until  he  is  age  48,  when  insulin  becomes  necessary.  At  age  49,  he  notes  continuous  unpleasant  burning  paresthesias  in  both  feet,  which  steadily  worsen  over  the  next  several  years.  On  examination  at  age  53,  vibratory  sensation  (128  Hz)  is  absent  at  the  toes  and  reduced  at  the  ankles.  Pinprick,  light  touch,  and  cold  sensation  are  diminished  in  both  feet,  and  light  touch  and  pinprick  produce  an  abnormal  burning  sensation  in  the  soles.  Position  sense  is  normal.  Tendon  reflexes  are  normal  at  the  knees  and  absent  at  the  ankles.  Strength  is  normal,  as  is  the  rest  of  the  neurological  examination.  
SN  - 
PB  - 
CY  - New York, NY
Y2  - 2024/04/24
UR  - neurology.mhmedical.com/content.aspx?aid=1180669470
ER  -