Thoracoabdominal radiculopathy

This is usually seen in older patients with long-standing diabetes and may be associated with marked weight loss. Most patients describe girdle-like pain around the trunk that may be unilateral or bilateral. Abdominal wall weakness, cutaneous hyperesthesiae, or superficial sensory loss over the involved area may be seen on examination. EMG changes can be detected in paraspinal and abdominal wall muscles, in adjacent myotomes, and, on this basis, the lesion is presumed to be very proximal - in the nerve roots. The pain is difficult to treat and recovery may be protracted, but the ultimate prognosis for recovery is good.

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