Peripheral Neuropathy Flashcards
What is a radiculopathy?
nerve root damage
What is a plexopathy?
plexus damage
What are the 3 types of peripheral neuropathy?
mononeuropathy
mononeuritis multiplex
length dependant peripheral neuropathy
Describe the pattern seen in length dependant peripheral neuropathy?
glove and stocking distribution
Are large motor and sensory fibres myelinated or unmyelinated?
myelinated
What is the presentation of a large motor fibre lesion?
weakness unsteadiness wasting reduced power absent reflexes normal sensation
What is the presentation of a large sensory fibre lesion?
numbness parasthesia unsteadiness normal power vibration and JPS sensation reduced reflexes absent
Are small fibres myelinated or unmyelinated?
thinly myelinated - cold perception and pain
unmyelinated - warm perception and pain
What is the presentation of a small fibre lesion?
pain
dyesthesia - abnormal sensation when being touched
normal power
pin prick and temperature sensation reduced
reflexes present
Are autonomic fibres myelinated or unmyelinated?
either thinly myelinated or unmyelinated
What is the presentation of an autonomic fibre lesion?
dizziness impotence nausea vomiting normal power, sensation and reflexes
How are nerve problems tested?
nerve conduction studies
electromyography
How are nerves damaged (e.g. the lesions)?
axonal loss
demyelination
What is an acute form of demyelinating neuropathy?
Guillian Barre Syndrome
What is a chronic form of chronic demyelinating neuropathy?
Chronic inflammatory demyelinating polyrediculopathy
hereditory sensory motor neuropathy