Difficulties of diagnosis of amyotrophic lateral sclerosis in a patient with diabetes mellitus
E.V. PERVUSHINA1,2, K.Z. BAKHTIYAROVA2
1Republican Clinical Hospital named after G.G. Kuvatov, 132 Dostoevskiy Str., Ufa, Russian Federation, 450005
2Bashkir State Medical University, 3 Lenin Str., Ufa, Russian Federation, 450000
Pervushina E.V. — Cand. Med. Sc., neurologist of the Department of Neurology, Assistant of the Department of Neurology with Courses in Neurosurgery and Medical Genetics, tel. (8347) 228-75-00, e-mail: ekaterina-pervushina@yandex.ru
Bakhtiyarova K.Z. — D. Med. Sc, Professor of the Department of Neurology with courses in Neurosurgery and Medical Genetics, tel. (8347) 251-10-07, e-mail: bsmu-neuro@yandex.ru
We present the clinical case of amyotrophic lateral sclerosis (ALS). The difficulty of diagnosis was related to non-specific initial presentation of the disease, and inaccurate interpretation of the available clinical and instrumental data, which led to late diagnosis and unnecessary surgical treatment.
Key words: amyotrophic lateral sclerosis, diabetes mellitus.
REFERENCES
- Brooks B.R., Miller R.G., Swash M. El Escorial Revisted: Revised Criteria for the Diagnosis of Amyotrophic Lateral Sclerosis. Amyotrophic lateral sclerosis and other motor neuron disorders, 2000, no. 1 (5), rr. 293-299.
- Sharma K.R., Kent-Braun J.A., Majumdar S. et al. Physiology of fatigue inamyotrophic lateral sclerosis. Neurology, 1995, no. 45 (4), rr. 733-740.
- Bryan L., Kaye W., Antao V. et al. Results of National Amyotrophic Lateral Sclerosis (ALS) Registry Risk Factor Survey Data. PloS one, 2016, no. 11 (4), p. e0153683. doi: 10.1371/journal.pone.0153683. eCollection 2016.
- Pervushina E.V., Bakhtiyarova K.Z. Clinical characteristics of amyotrophic lateral sclerosis in the Republic of Bashkortostan. Prakticheskaya meditsina, 2015, no. 5 (90), pp. 108-110 (in Russ.).
- Shirokov V.A., Chaynikova N.Yu., Obraztsova R.G. Deterioration of the course of motor neuron disease after surgical treatment (clinical case). Ural’skiy meditsinskiy zhurnal, 2014, no. 09 (129), pp. 43-45 (in Russ.).
- Kioumourtzoglou M.A., Rotem R.S., Seals R.M. et al. Diabetes Mellitus, Obesity, and Diagnosis of Amyotrophic Lateral Sclerosis: A Population-Based Study. Journal of the American Medical Association neurology, 2015, no. 72 (8), rr. 905-911.


