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Abstract Since the early descriptions of diabetic neuropathy, many attempts of classification have been tried. Pryce in (1893)(1•‹), suggested a subdivision into two categories: a patchy motor type, and a sensory or ataxic type.(2). Sullivan in (1958), advocated two types of neuropathies: asymmetrical, painful and predominantly motor type and the second type was a symmetrical, distal, and predominantly sensory neur~pathy(~~’. Fry and Co-worhers (1962), classified their cases into three categories: comprising a symmetrical sensory neuropathy; diabetic amyotrophy, and isolated peripheral nerve lesions(26), to which Gilliatt in 1965, added an additional category of autonomic n e u r ~ ~ a t h y ’ ~ ~ . Bruyn and Garland in (1970), tried to synthesize the various suggested classification proposed up until now, as indicated in Table 1”). Thomas in( 1973), advocated a broad subdivision into symmetrical polyneuropathies on one hand and focal and multifocal neuropathies on the other Table 2””. The first category includes the symmetrical sensory polyneuropathy and autonomic neuropathy. The justification for including autonomic neuropathy in this category is the very precise symmetry of involvement(14). Furthermore, there is a fairly close association between autonomic neuropathy and sensory ne~ropathy”~). In the second category of focal and multifocal neuropathies are isolated lesions of the cranial nerves and focal neuropathies affecting trunk and limb nerves(29). |