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Cited by 251

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PROGRESSIVE CENTRIPETAL DEGENERATION OF AXONS IN SMALL FIBRE DIABETIC POLYNEUROPATHY: A CLINICAL AND PATHOLOGICAL STUDY

SAID, G., SLAMA, G., SELVA, J.·1983·Brain

Abstract

A clinicopathological study is presented of 5 patients with a pseudosyringomyelic dissociation of sensory loss and severe autonomic disturbances related to diabetic polyneuropathy. Sensory loss which followed a pattern that suggested a length-related degeneration of fibres was associated with spontaneous pains in 3 patients. Plantar ulcers and neurogenic arthropathies were also present in 3 patients. The pathological changes in sural nerve biopsies included a severe loss of unmyelinated and small myelinated axons which appeared to be involved earlier than larger myelinated fibres. Distal degeneration of single fibres with subsequent axonal sprouting from the proximal axon was demonstrated in all patients. This severe axonal neuropathy was associated with primary and secondary segmental demyelination. Our observations are consistent with a progressive centripetal degeneration of axons in predominantly sensory diabetic polyneuropathy.

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Metadata

Authors
SAID, G., SLAMA, G., & SELVA, J.
Venue
Brain
Published
1983
Volume
106
Issue
4
Pages
791-807
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W1969618497
Cited by
251
References
0
FWCI
7.02
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: PROGRESSIVE CENTRIPETAL DEGENERATION OF AXONS IN SMALL FIBRE DIABETIC POLYNEUROPATHY: A CLINICAL AND PATHOLOGICAL STUDY. https://app.cochat.ai/papers/10.1093/brain/106.4.791
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SAID, G., SLAMA, G., & SELVA, J. (1983). PROGRESSIVE CENTRIPETAL DEGENERATION OF AXONS IN SMALL FIBRE DIABETIC POLYNEUROPATHY: A CLINICAL AND PATHOLOGICAL STUDY. Brain. https://doi.org/10.1093/brain/106.4.791

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.