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neuropathyA generic term for any disorder of peripheral nerves.
• Congenital (e.g., hereditary sensory radicular neuropathy or hypertrophic interstitial neuropathy)
• Traumatic—entrapment (e.g., carpal tunnel syndrome).
• Metabolic (e.g., due to amyloid or diabetes).
• Toxic (e.g., tobacco or alcohol-related amblyopia, cis-platinum, vincristine).
• Infectious (e.g., herpetic).
neuropathyNeurology A disorder of peripheral nerves, which may be congenital–eg, hereditary sensory radicular neuropathy or hypertrophic interstitial neuropathy, traumatic–entrapment–eg, carpal tunnel syndrome, metabolic–eg, due to amyloid or DM, toxic–eg, tobacco or alcohol-related amblyopia, cis-platinum, vincristine, or infectious–eg, herpetic. See Alcoholic neuropathy, Autonomic neuropathy, Colchicine neuropathy, Diabetic neuropathy, Drug-related neuropathy, Dying back neuropathy, Entrapment neuropathy, Familial amyloidotic polyneuropathy, Giant axonal neuropathy, Hereditary motor & sensory neuropathy, Hereditary neuropathy with liability to pressure palsies, Hereditary sensory neuropathy, Jamaican neuropathy, Leber hereditary optic neuropathy, Localized hypertrophic neuropathy, Motor neuropathy, Neck crack neuropathy, Nutcracker neuropathy, Optic neuropathy, Retrobulbar neuropathy, Subacute myelo-optic neuropathy, Thalidomide neuropathy. Cf Nerve dysfunction.
Synonym(s): neuritis (2) , neuropathia.
neuropathy(noo-rop'a-the) [ neuro- + -pathy]
AIDS peripheral neuropathy
Nonsteroidal anti-inflammatory drugs, opioids, gabapentin, anticonvulsants, and topical agents have all been used with variable success to treat the pain of AIDS-related sensory neuropathy. Acupuncture is not effective. Human nerve growth factor, which stimulates regeneration of damaged nerve fibers, is being studied, esp. to minimize the neuropathy that antiretroviral drugs cause.
auditory neuropathyAbbreviation: AN
Tight control of blood sugar levels may prevent some neuropathic symptoms in patients with diabetes mellitus.
dysthyroid optic neuropathy
entrapment neuropathyNerve entrapment syndrome.
facial sensory neuropathyTrigeminal neuralgia.
interdigital neuropathySee: Morton, Thomas George
multifocal motor neuropathy
subacute myelo-optic neuropathy, subacute myelo-optico neuropathy Abbreviation: SMON
toxic-nutritional optic neuropathy
vibration-induced neuropathyHand-arm vibration syndrome.
|Name||Affected nerve(s)||Affected part(s)||Affects sensation?||Affects movement?||Clinical features||Type of neuropathy|
|Bell’s palsy||Facial||Eye, nasolabial fold, lip (corner of the mouth)||Occasionally||Yes||Paralysis of the facial muscles, usually on just one side of the face||Inflammatory|
|Carpal tunnel syndrome||Median||Wrist and hand||Yes||Yes||Pain and numbness of the hand and wrist, often caused by repetitive movements or overuse such as typing, sawing, hammering, or polishing||Entrapment|
|Diabetic sensory neuropathy||Multiple||Feet, lower extremities; sometimes hands late in the course||Yes||No||Burning, stinging pain beginning in both feet, typically occurring after several years of poorly controlled diabetes. Can predispose to foot injury and infections.||Metabolic|
|Idiopathic brachial plexopathy (neuralgic amyotrophy; Parsonage-Turner syndrome; shoulder girdle syndrome)||Brachial||Shoulder||Yes||Yes||Pain in the shoulder, esp. after vigorous physical activity. Occasionally followed by shoulder girdle muscle atrophy||Entrapment|
|Meralgia paresthetica||Lateral femoral cutaneous||Thigh||Yes||No||Stinging pain in the anterolateral thigh. Usually found in obesity or in diabetes mellitus||Entrapment|
|Morton’s neuroma (interdigital neuropathy)||Interdigital nerves of the feet||Ball of foot||Yes||No||Pain often occurring between the web spaces of the 3rd and 4th toes during walking or standing||Entrapment|
|Piriformis syndrome||Sciatic||Buttock, with radiation into the leg||Yes||No||Buttock pain without back pain that is worsened by sitting and is relieved by walking||Entrapment/compression|
|Radial nerve palsy (musculospiral paralysis; Saturday night palsy)||Radial nerve (spiral groove entrapment)||Wrist, hand, and forearm||Yes||Yes||Temporary paralysis and numbness of the hand and arm, which may mimic a stroke. Caused by nerve compression, e.g., falling asleep on one’s side on a hard surface||Entrapment compression|
|Suprascapular neuropathy||Suprascapular||Back of the shoulder||Yes||Yes||Shoulder pain and muscular atrophy. Decreased ability to rotate or abduct the shoulder||Entrapment|
|Tarsal tunnel syndrome||Posterior tibial||Sole of the foot||Yes||No||Pain under the foot that is worsened by walking||Entrapment|
|Trigeminal neuralgia||Trigeminal||Cheek, nose, upper lip||Yes||No||Intense, repetitive facial pains that are often worsened by chewing, shaving, or toothbrushing, usually accompanied by spasm on the affected side of the face||Entrapment|
neuropathyAny NEURON disorder. Neuropathy occurs in CANCER, in DIABETES, in LEPROSY, in vitamin deficiency states, and may occur from genetic causes, from poisoning, from glue sniffing, from disorders of the AUTONOMIC NERVOUS SYSTEM and from nerve pressure.
Synonym(s): neuritis (2) .
Patient discussion about neuropathy
Q. I am interested in finding info on Peripheral neuropathy and its symptoms. I wonder if I have it. I have restless leg syndrome discovered via a sleep clinic. A small tingling area developed in my back about 8 years ago. Nothing was disclosed to me about it and it progressed further up the back. I now wake up some nights with what I describe as left shoulder knot that makes left arm tingle and feel numb. Sometimes also goes down through to the left leg. It makes me feel jumpy and have trouble getting back to sleep. I rub Benyln on shoulder and take Tylenol. I eventually fall back to sleep. I do not have a family Dr. as she closed her practice and I must now visit walkin clinics. A stress test was recently done as I was having chest pain. Dr. thinks it's due to my Acid Reflux. HELP!
about neuropathy- as i recall (and i could be wrong here), in most cases it's a symptom that something cause. your nervous system usually don't just shut off with no reason.
Q. is neurontin a safe drug for a 75 year old person?i have leg and foot pain and swelling.are there bad effects
Q. My blood sugars are usually in the range of 180 (when I first get up) to about 240 in evening.. normal? I have been told I have Diabetes Type II. one doctor put me on metformin.. then that doc retired. Next doc said I don't need metformin. But I have noticed by checking blood sugars at home, they seem a little high. Also have been having some sweating, headaches, and some pain in feet and weird burning in feet.. Is that from high blood sugar? What is high? Should I tell my doc what my readings are? Do you think I need to get on a medication? I am trying diet modification and some exercise (I have a bad back and can't do much exercise or walking)... just don't want to get damage to my body from high blood sugars. thanks