Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Large fibre neuropathy, Lumbar puncture, Lumbar radiculopathy
Clinical narrative: On Febr. 10, 2023, I was walking a tour at Cemetery and my left leg felt wobbly. By May 2023 I was experiencing pain in left leg. On Sept. 16, 2023, I was falling down because my left knee was buckling.  Between Sept. 2023 and April 2024, I fell approximately 75 times, despite using crutches. I have been under a doctor's care since Oct. 2023. I had a second covid vaccine in Jan. 2024. On Feb. 1, 2024, the pain and weakness started in my right leg and I started falling by my right leg buckling, too. I have been in a wheelchair since April 2024 and have suffered five broken bones and a concussion from my falls. I did not get an accurate diagnosis until October 2024. I live in (redacted).  My neurologist in (redacted) sent me to a another state, neurologist named Dr. In Aug. 2024, he suspected that I had "a diabetic radiculoplexopathy." He further noted in these notes: "Lack of response to IVIG argues against CIDP despite mild demyelinating features seen on NCS.  In context of diabetes may represent diabetic radiculoplexus neuropathy.  Currently with severe functionally limiting weakness affecting both lower extremities."  He scheduled me for further testing.  After further testing, Dr. believed that I had a diabetic radiculoplexus neuropathy.  He noted on October 1, 2024: "Most consistent with diabetic radiculoplexus neuropathy. . . . I suspect his overall presentation is most consistent with diabetic radiculoplexus neuropathy."  Dr. referred me to the neurology department at specialty clinic "for opinion on the current symptoms."    Dr. instructed me in October 2024 to consider not getting further covid vaccinations.  I underwent further testing and examination at specialty clinic in Nov. and Dec. 2024, under the direction of Dr., a world-renowned neurologist and the former dean of the specialty clinic medical school.  After reviewing the new objective data from the tests conducted at clinic, he noted: "I reviewed patient's electrophysiological studies today. They clearly show changes most compatible with diabetes associated radicular plexus neuropathies in the lower limbs superimposed on a more generalized mild peripheral neuropathy." He diagnosed me as follows: "As in my addendum from November 29th, the electrophysiologic findings are suggestive of a large fiber, axonal more than demyelinating peripheral neuropathy with superimposed bilateral L3-L5 radiculopathies, without paraspinal muscle involvement. Clinically, this fits best with bilateral lumbosacral radiculoplexus neuropathy. Given that this presented in association with 45 lb weight loss (unintentional), moderately severe hip an anterior thigh pain, followed by the progression of weakness in the left leg, this is most compatible with a diabetes associated lumbosacral radiculoplexus neuropathy. In addition, the right leg developed pain and numbness months after the left leg, at the same time as the left leg stabilized. If we put this together with the electrophysiological findings, I think we can be confident of the diagnosis."