Focal neuropathy

The commonest focal neuropathy is femoral neuropathy but it can also present as a truncal radiculopathy on the thorax or abdomen.

Femoral neuropathy is associated with:

• Weakness of quadriceps

• Difficulty in walking

It resolves in 18 months.

Truncal neuropathy involves the thorax or abdomen. It is associated with unilateral sensory loss, muscle weakness, which leads to a laxity and bulging of the abdominal muscles, and weight loss. Patients are often thought to have a malignancy because of the weight loss and the impression of an abdominal mass. Pain usually resolves within 9-12 months.

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