Articles Tagged With: Neuropathy
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Distinguishing the Neuropathy Associated with MGUS from POEMS
Nerve conduction and electromyography can help differentiate the neuropathy associated with monoclonal gammopathy of undetermined significance (MGUS) from polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes (POEMS).
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Evaluation of Peripheral Neuropathy in the Diabetic Foot
Among the many types of peripheral neuropathy, diabetic peripheral neuropathy is the most common in the U.S. population. Despite the cause, its progression leads to loss of protective sensation, skin ulcerations, and chronic wounds, which in turn cause soft tissue and bone infections requiring amputation. All of these scenarios depend on the type of glycemic control of the patient, and vary by severity. Prevention, ultimately by understanding the pathophysiology of neuropathy and understanding the biomechanics of gait in relation to the foot, has been proven to significantly decrease morbidity with this disease.
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Peripheral Neuropathy and the Diabetic Foot
This issue discusses the principles of assessing and treating patients with diabetic neuropathy so that problems can be identified and appropriately managed to prevent limb loss.
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Prognosticating Ulnar Neuropathy at the Elbow
In a large retrospective review of treatment outcome for ulnar neuropathy at the elbow, no difference was found in outcomes between any of the various conservative or surgical therapies, but prognosis was determined by the severity of the lesion at time of diagnosis.
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Neuropathy in Myeloma
Peripheral neuropathy is uncommon at presentation in patients with myeloma, and may be complicated by vitamin D deficiency and the neurotoxic effects of chemotherapy.
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Demyelinating Neuropathies in Children
Electrodiagnostic criteria using nerve conduction velocities are useful to distinguish most hereditary neuropathies from acquired neuropathies in children.
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Peripheral Nerve Disorders After Cardiac Surgery
Following cardiac surgery, about 6% of patients will suffer a peripheral nerve injury, mostly due to compression, traction, or nerve ischemia. Proper patient positioning can prevent most of these injuries.
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Idiopathic Phrenic Neuropathy
Isolated phrenic neuropathy is a rare syndrome, often associated with a surgical procedure and diabetes mellitus, and has no proven, effective therapy other than respiratory support.
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Treatment for Ulnar Neuropathy at the Elbow
In a randomized treatment trial of steroid injection into the cubital tunnel for ulnar neuropathy, there was no difference in outcome compared to placebo.
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Vitamin D and Diabetic Neuropathy
Vitamin D deficiency may exacerbate the clinical manifestations of diabetic neuropathy, and supplementation with vitamin D3 may be beneficial.