Presentation
Therefore, as is also demonstrated in our case, PPCM may present with predominantly non-cardial symptoms. [link.springer.com]
Visual acuity is reduced, and an afferent pupillary defect is present. The optic disk is swollen and elevated, and the swollen nerve fibers obscure the fine surface vessels of the optic nerve. Often hemorrhages surround the optic disk. [msdmanuals.com]
(See Etiology and Presentation.) [emedicine.medscape.com]
The hand is usually warm, and often a palpable radial pulse or audible Doppler signal is present. [jpgmonline.com]
Musculoskeletal
- Myopathy
MELAS Is also known as mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes|melas syndrome|mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes Related symptoms: Intellectual disability Seizures Global [mendelian.co]
21270647 2011 38 Transient oculomotor palsy after influenza vaccination: short report. 61 de Almeida DF...Radaeli Rde F 22389831 2011 39 MRI of the eye muscles in a case of ophthalmoplegia caused by common carotid artery occlusion suggests ischemic myopathy [malacards.org]
Chloroquine may cause headaches, psychotic disorders, neuropathy and myopathy, while D- penicillamine is often responsible for taste changes, inflammatory myopathy or myasthenia. [ncbi.nlm.nih.gov]
Causes of generalized weakness include motor neuron disease, disorders of the neuromuscular junction and myopathy. Peripheral neuropathy can also be mimicked by myelopathy, syringomyelia or dorsal column disorders, such as tabes dorsalis. [aafp.org]
Local lesions of the brainstem may also cause paralysis of eye movement, as may severe myasthenia and myopathies affecting the eye muscles. [britannica.com]
- Numbness of the Feet
Five days before admission she suffered from acute muscle cramps, followed by muscle weakness in both legs and numbness of both feet. [link.springer.com]
Neurotrophic Ulcers With neuropathy being the underlying cause of ulceration, many patients complain of burning, tingling, or numbness of the feet on presentation. [clevelandclinicmeded.com]
- Low Back Pain
It occurs in 21 percent of individuals living in retirement communities and 12 percent of community dwelling men.3 It is characterized by a history of low back pain and extremity pain. [podiatrytoday.com]
"Anticonvulsants in the treatment of low back pain and lumbar radicular pain: a systematic review and meta-analysis". CMAJ. 190 (26): E786–E793. doi:10.1503/cmaj.171333. PMC 6028270. [en.wikipedia.org]
- Shoulder Pain
One example of a central pain syndrome is post-stroke shoulder pain, which is estimated to occur in up to one-third of stroke survivors. (5) Treatment of Neuropathic Pain The underlying cause or medical problem should always be treated. [neuromodulation.com]
Psychiatrical
- Euphoria
Neuropsychiatric Symptoms in AD and Functional Connectivity Alterations A correlation between increased connectivity in anterior cingulate cortex and right insula areas of the SN and hyperactivity syndrome (agitation, irritability, aberrant motor behavior, euphoria [practicalneurology.com]
Urogenital
- Amenorrhea
Hypogonadotrophic hypogonadism Hyperkinesis Specific learning disability Psychosis Status epilepticus Migraine without aura Type II diabetes mellitus Bilateral sensorineural hearing impairment Generalized-onset seizure Pigmentary retinopathy Cerebral calcification Amenorrhea [mendelian.co]
Neurologic
- Peripheral Neuropathy
Peripheral neuropathy definition and facts Peripheral neuropathy is nerve pain that affects the limbs. Peripheral neuropathy is a condition in which the nerves in the peripheral nervous system become damaged. [medicinenet.com]
Peripheral Neuropathy Prevention Lifestyle choices can play a role in preventing peripheral neuropathy. [hopkinsmedicine.org]
Diagnosis The diagnosis of peripheral neuropathy begins with a neurological examination. [verywellhealth.com]
Home / Conditions / Type 2 Diabetes / Peripheral Neuropathy Associated with CV Disease and Stroke in Type 2 Diabetes Patients Aug 15, 2014 Testing for peripheral neuropathy may provide a way to identify individuals at higher risk of cardiovascular events [diabetesincontrol.com]
Further Reading All Peripheral Neuropathy Content What is Peripheral Neuropathy? Peripheral Neuropathy Types Peripheral Neuropathy Symptoms Peripheral Neuropathy Tremors Last Updated: Aug 23, 2018 Written by Dr. Liji Thomas Dr. [news-medical.net]
- Neuralgia
Gabapentin for the treatment of postherpetic neuralgia: a randomized controlled trial. JAMA 1998; 280: 1837-1842. 58. Rice AS, Maton S. Gabapentin in postherpetic neuralgia: a randomised, double blind, placebo-controlled study. [ge-bu.nl]
(Medical Encyclopedia) Metabolic neuropathies (Medical Encyclopedia) Mononeuritis multiplex (Medical Encyclopedia) Neuralgia (Medical Encyclopedia) Neuropathy secondary to drugs (Medical Encyclopedia) Peripheral neuropathy (Medical Encyclopedia) Radial [icdlist.com]
Trigeminal neuralgia usually affects only one side of the face. The exact cause of trigeminal neuralgia is unknown, but it develops where the trigeminal nerve is compressed, pinched, or irritated. [physio-pedia.com]
A prescription patch of 8% capsaicin (Qutenza) is approved for the treatment of postherpetic neuralgia. [medicinenet.com]
such as the facial pain syndrome trigeminal neuralgia. [neuromodulation.com]
- Dizziness
Side effects can include drowsiness, dizziness and numbness at the site of the patch. Antidepressants. [mayoclinic.org]
Symptoms and signs of a mini stroke are similar to those of a major stroke, including weakness or numbness in the face, body and limbs, slurred speech or difficulty speaking, trouble seeing out of one or both eyes, and dizziness or trouble balancing. [intermountainhealthcare.org]
Pregabalin 75 mg bid 600 mg daily Sedation, dizziness,peripheral edema Renal insufficiency Improvement of sleep disturbance, no significant drug interaction Tramadol 50 mg qd or bid 400 mg daily Nausea, vomiting,constipation, drowsiness, dizziness History [ekjm.org]
[…] disturbances Sleep disruptions Loss of pain or sensation that can put you at risk, such as not feeling an impending heart attack or limb pain Inability to sweat properly, leading to heat intolerance Loss of bladder control, leading to infection or incontinence Dizziness [hopkinsmedicine.org]
When symptoms do happen, they may include Chest pain, especially when you breathe in Shortness of breath Coughing up blood Dizziness Fainting Phlebitis There are two forms of phlebitis. [texasheart.org]
- Radiculopathy
Evaluation and treatment of suspected radiculopathy. Figure 3. Evaluation and treatment of suspected radiculopathy. Figure 4. Evaluation and treatment of suspected polyneuropathy (eg, multifocal mononeuropathy). Figure 4. [jaoa.org]
Vitamin deficiencies (e.g., pernicious anemia ) Radiculopathy is the term for neuropathy that affects nerve roots. [healthcommunities.com]
This is called a radiculopathy. When there is compression on a nerve, the signal that carries information from the cells in your body to your brain cannot be transmitted correctly. [texstarchiropractic.com]
신경뿌리병(radiculopathy) 특정 레벨의 감각 영역(dermatome)과 근육에 국한된 증상이 나타나고 해당 분절의 건반사가 감소하면 쉽게 진단할 수 있다. 대부분은 척추 질환에 동반되어 나타나므로 활동 범위가 가장 큰 경추 5-7번, 요추 4번-천추 1번 사이의 신경뿌리가 가장 많이 침범된다. [ekjm.org]
Pain is often of mixed nociceptive and neuropathic types, for example, mechanical spinal pain with radiculopathy or myelopathy. It is not generally recognized that nociceptive spinal pain can radiate widely, mimicking a root distribution. [physio-pedia.com]
- Hyporeflexia
[…] weakness Failure to thrive Hypertelorism Microcephaly Cornea verticillata Abnormal glomerular filtration rate Abnormality of the common coagulation pathway Increased glomerular filtration rate Increased carotid artery intimal medial thickness Visual loss Hyporeflexia [mendelian.co]
Workup
Workup The proper diagnosis of IMN as a vascular lesion can avoid incorrect classification of the injury as a plexus or a root lesion from trauma, as well as avoid incorrect positioning during surgery. [emedicine.medscape.com]
The diagnostic workup includes: Brain Imaging Head CT without contrast should be performed on all patients to exclude intracranial hemorrhage. [cdemcurriculum.com]
Complete electrodiagnostic studies [Nerve conduction studies (NCS) and needle electromyography (EMG)]: Perform if unclear after initial workup or presence of atypical symptoms: asymmetry, motor predominance, non-length dependence, prominent autonomic [clinicaladvisor.com]
Serum
- Hypercholesterolemia
FAMILIAL Familial hypercholesterolemia is an autosomal dominant disorder characterized by elevation of serum cholesterol bound to low density lipoprotein (LDL), which promotes deposition of cholesterol in the skin (xanthelasma), tendons (xanthomas), [mendelian.co]
Hypercholesterolemia attenuates angiogenesis but does not preclude augmentation by angiogenic cytokines. Circulation 96, 2667–2674 (1997). 37. Morrissey, T.K., Kleitman, N. & Bunge, R.P. [nature.com]
39%) n = 18 (46%) Coronary Disease n = 128 (84%) n = 38 (88%) n = 56 (80%) n = 34 (87%) Chronic Renal Insufficiency n = 60 (39%) n = 17 (39%) n = 27 (38%) n = 16 (41%) End Stage Renal Disease/Dialysis n = 29 (19%) n = 6 (14%) n = 14 (20%) n = 9 (23%) Hypercholesterolemia [omicsonline.org]
T Wave
- T Wave Inversion
[…] morphology Biventricular hypertrophy Primary hypothyroidism Microalbuminuria Supraventricular arrhythmia Nephrogenic diabetes insipidus Abnormal cornea morphology Abnormal thrombosis Tubulointerstitial fibrosis Chronic pain Abnormal renal physiology Miosis T-wave [mendelian.co]
Treatment
Prompt treatment does not restore lost vision in the affected eye but protects the unaffected eye. Inadequate treatment risks relapses and additional vision loss. [msdmanuals.com]
The medicines will usually be tested against another treatment called a control. This will either be a dummy treatment (a placebo) or a standard treatment already in use. [nhs.uk]
Evaluation and treatment of suspected radiculopathy. Figure 3. Evaluation and treatment of suspected radiculopathy. Figure 4. Evaluation and treatment of suspected polyneuropathy (eg, multifocal mononeuropathy). Figure 4. [jaoa.org]
New treatments for hemorrhagic stroke are becoming available and should improve the range of possible treatments. Get more information on new treatments from the Stroke Association. [urmc.rochester.edu]
How many times should the treatment be applied? Follow-up results let us make a conclusion about how well you’re responding to the treatment and whether you can benefit from a second course. [restore-vision.com]
Prognosis
Prognosis can be poor in the case of amyloidosis and the primary vasculitides. The literature is limited to cross-sectional case series and rare longitudinal studies likely related to the incidence of the diseases. [ncbi.nlm.nih.gov]
What You Need to Know There are more than 100 types of peripheral neuropathy, each with its own set of symptoms and prognosis. Peripheral neuropathy has many different causes. [hopkinsmedicine.org]
Visual prognosis tends to be poor. Give corticosteroids if giant cell arteritis is possible. Click here for Patient Education [msdmanuals.com]
What Is the Prognosis for Neuropathy? The outlook for nerve damage depends upon its cause. [emedicinehealth.com]
Prognosis Recent studies have suggested that 40% of patients may experience some degree of improvement in central vision or visual acuity weeks to months after the vision or visual field loss. [lowvision.org]
Etiology
(See Etiology and Presentation.) [emedicine.medscape.com]
Questions exploring different potential etiology’s as well to discriminate between syndromes: Etiologic questions Duration of symptoms (acute versus sub-acute syndromes). [clinicaladvisor.com]
However, muscle cramping may be associated with etiologies other than vascular disease, including neuropathy. [podiatrytoday.com]
Systemic vasculitis is classified as primary (unknown etiology) and secondary (related to other pathological conditions such as connective tissue disease). [rcm.mums.ac.ir]
Epidemiology
Determination of peripheral neuropathy prevalence and associated factors in Chinese subjects with diabetes and pre-diabetes - ShangHai Diabetic Neuropathy Epidemiology and Molecular Genetics Study (SH-DREAMS). [scielo.br]
Epidemiology of polyneuropathy in diabetes and prediabetes. Handb Clin Neurol 2014; 126:3–22. 10. Said G. Examination and clinical care of the patient with neuropathy. Handb Clin Neurol 2013; 115:235–244. 11. Jensen TS, Finnerup NB. [ekjm.org]
The epidemiology of varicose veins: the Framingham Study. Am J Prev Med. 1988;4(2):96-101. Covidien. Endovenous radiofrequency ablation (RFA) catheter (with 3 cm and 7 cm heating elements) instructions for use. [vasculardiseasemanagement.com]
This has important implications when targeting treatments for NP. [8] Screening questionnaires are suitable for identifying potential patients with neuropathic pain, but further validation of them is needed for epidemiological purposes. [physio-pedia.com]
Pathophysiology
The pathophysiologic processes and theories underlying neuropathic pain are multiple. [practicalpainmanagement.com]
The neurophysiologic changes suggest that the underlying pathophysiology is a distal axonopathy affecting nerve fibers of all sizes. [neurology.org]
Lilly, Pathophysiology of Heart Disease, 2007. [pathophys.org]
I hope future research will help to delineate the pathophysiology of chronic ischaemic neuropathy. [webview.isho.jp]
Prevention
Patients should be instructed to care meticulously for their insensate skin areas in order to prevent skin breakdown. (See Treatment.) [emedicine.medscape.com]
You can help prevent mini strokes and these symptoms by talking to your doctor about risk factors, specifically blood clots, and taking the appropriate preventative measures. Success! Your place in line is confirmed. [intermountainhealthcare.org]
How can anterior ischemic optic neuropathy be prevented? Controlling the risk factors associated with NA-AION is an important preventive measure. [clevelandclinic.org]
Peripheral Neuropathy Prevention Lifestyle choices can play a role in preventing peripheral neuropathy. [hopkinsmedicine.org]