Peripheral Neuropathy

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Peripheral Neuropathy

• Dr.Shamekh M. El-Shamy

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Peripheral Neuropathy

• DEFINITION
• It is inflammation and degeneration of the
  peripheral nerves and/or the cranial nerves
  resulting in impairment of the conductivity of
  these nerves

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Classification of Neuropathy

• 1- Mononeuropathy
• 2- Mononeuropathy multiplex
• 3- Polyneuropathy

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• CAUSES OF MONONEUROPATHY
• 1- Trauma wrong injection into a nerve, callus
  compression.
• 2- Infective leprosy, herpes zoster.
• 3- Vascular polyarteritis nodosa.
• 4- Metabolic diabetes mellilus.

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CAUSES OF POLYNEUROPATHY

• I-Heridofamilial
• 1- Hypertrophic interstitial polyneuropathy.
• 2- Peroneal muscle atrophy.
• 3- Refsum's disease.

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Clinical Picture of
polyneuropathy

• A- Motor

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• B- Sensory 

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Glove
Hypothesia
Stock
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• C-Autonomic
• Vasomotor coldness and cyanosis of the limbs.
• Cutaneous loss of hair, brittle nails, trophic
  ulcers.

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Specific Types of Polyneuropathy

• I- PERONEAL MUSCLE ATROPHY

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Peroneal muscle Atrophy
Inverted Champagne-bottle appearance
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Diabetic Neuropathy

• Pathogenesis
• Diabetic microangiopathy of the vasa nervosa.
• Ischaemia of the nerves, 2ry to atherosclerosis
  of the vasa nervosa.

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Treatment of Diabetic Neuropathy

• Proper management of diabetes diet, oral
  hypoglycaemic drugs or insulin.
• VilaminsB1 100 mg daily, B6 200 mg daily, B12
  1000 mg daily.

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Acute Infective Polyneuropathy
Landary-Guillan-Barre Syndrome

• Aetiology
• It is due to an allergic or auto-immune reaction
  secondary to a previous non-specific virus
  infection.

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Clinical Picture

• 1-Febrile stage
• 2-Latent stage

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• 3-Paralytic stage 

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PN Testing for diagnosis

• The EMG test itself
• Nerve Conduction Studies (NCS)
• EMG (Needle portion)

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Treatment of Guillain Barre Syndrome
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• Thank you