9: Peripheral neuropathy Flashcards
Which nerve pathologies affect
a) roots
b) plexuses
c) peripheral nerves
d) spinal cord
a) Radiculopathy
b) Plexopathy
c) Peripheral neuropathy
d) Myelopathy
Which nerve modalities can be affected by peripheral neuropathy?
Motor
Sensory
Autonomic
Peripheral nerves are (UMN/LMN), so which signs would you see?
LMNs
LMN signs
What is pseudoathetosis?
Proprioceptive drift, problem with large fibre sensory nerves
What is a classic example of peripheral mononeuropathy?
Carpal tunnel syndrome
Median nerve
What is a symmetrical peripheral neuropathy, associated with age, with a classic glove and stocking distribution?
Length dependent peripheral neuropathy
Which peripheral neuropathy presents as a patchy distribution of mononeuropathies?
Mononeuritis multiplex
Sciatica is an example of a ____.
radiculopathy
Can MS cause peripheral demyelination?
No, involves CNS only
An apical lung tumour causing diffuse upper arm weakness / paralysis would be an example of a ___.
plexopathy
brachial plexus compression
What is a demyelinating neuropathy which presents as acute-onset paralysis affecting the whole body (paraplegia) and pain?
Guillain-Barre syndrome
When do the symptoms of GBS peak?
2 weeks
Which infection has a strong association with the onset of GBS?
Campylobacter
causing a gastroenteritis
How is GBS treated?
Ig injections
Plasma exchange
Wait it out, make sure patient can be ventilated and keep an eye on ECG for arrythmias
HMSN
supposedly comes up in exams so look over it
