Diabetic Amyotrophy post Splanchnic Nerve Radiofrequency Ablation in a Chronic Pancreatitis Patient Case Report

Percutaneous splanchnic nerve radiofrequency ablation (RFA) has been an increasingly useful alternative in the management of patients with chronic pancreatitis, both alleviating pain and improving the quality of life. Diabetic amyotrophy or diabetic lumbosacral radiculoplexus neuropathy (DLRPN) is a form of diabetic neuropathy that is characterized by an abrupt onset of pain and asymmetric proximal weakness and atrophy of the legs. Despite its exact mechanism is still unknown, immune-mediated inflammatory microvasculitis resulting in secondary ischemia of the lumbosacral plexus is thought to be a favorable cause. Here we present a diabetic patient with chronic pancreatitis who was coincidentally diagnosed with diabetic amyotrophy after being treated with percutaneous splanchnic RFA for chronic abdominal pain.