– See: – Charcot Changes in the Diabetic Patient – Diabetic Foot Menu – Pathophysiology: – effects of neuropathy are simply those of the insensate foot; – in the last century the commonest cause of the insensate foot was syphilis, whereas it is now diabetes; … Read more
– See: Soft Tumor Menu – Discussion: – also called malignant schwannoma or fibrosarcoma of nerve sheath; – extracompartmental high grade tumor that develops from sheaths (Schwann cells) of peripheral nerves; – usually is a primary lesion occuring along proximal major nerve trunks, – tumor is usually … Read more
– See: Nerve Repair: – Discussion: – most severe nerve injury; – complete disruption of axons, endoneurium, perineurium, & epineurium; – Wallerian degeneration occurs; – recovery requires operative repair and the prognosis is variable, ranging from complete recovery to no recovery; – factors that influence … Read more
– See: Nerve Injury – Discussion: – always consider an occult compartment syndrome before a neurpraxia; – median nerve: – most common neural injury is to anterior-interosseous branch; – in type III frx, upto 50% of pts may show median … Read more
– See: Neuro Exam – Discussion: – mechanism of injury: – direct neural injury from sacral frx; – indirect neural injury from traction accompanying pelvic displacement; – injury to lumbrosacral plexus is most common w/ L-5 & S-1 roots being at greatest … Read more
– Discussion: – indicated for neuropathic pain conditions; – diabetic neuropathy – reflex sympathetic dystrophy; – radicular pain – peripheral nerve pain; – dose ranged: 300 to 600 PO tid; … Read more
– See: – Myopathic Disorders – Peripheral Neuropathies – Demyelinating Disorders – Diff Dx of Neuropathic Dz: – Axonal Neuropathies – Demyelo Neuropathies – Charcot Marie Tooth – Friedreich’s Ataxia – Anterior Horn Dz … Read more
– See: Innervation: – Discussion: – paresthesias in buttocks are an important sign of possible cord dysfunction; – since segments S3, S4, S5 are the lowest and most peripheral segments in the spinal cord, an extramedullary lesion at any level may first compress these fibers and … Read more
– Discussion: – nerve sheath tumor which arises from schwann cells; – commonly develop in cranial nerves (most often the 8th nerve); – most often develops in sensory nerves; – mass grows slowly and usually does not cause symptoms unless it grows within a confined space such as the tarsal tunnel; … Read more