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Neuropathy and polyneuropathy (neuritis, polyneuritis)

 

Neuropathy (neuritis)

Neuropathy (neuritis) — is a persistent loss of peripheral nerve or several nerves - polyneuritis (polyneuropathy), with motor, sensory and autonomic changes in the zone of innervation of a nerve or group of nerves.

Most common form of polyneuropathy (polyneuritis) - is an alcoholic polyneuropathy and diabetic polyneuropathy.

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Diabet can damage nerves and cause diabetic neuropathy (polyneuropathy).

Depending on the level of nerve damage in diabetic and alcoholic neuropathy (polyneuropathy) damage sensitivity (numbness, tingling, burning, and "goose"), pain and muscle weakness, the patient will be at different levels.

 

Neuropathy and polyneuropathy (neuritis, polyneuritis) diagnosis

Depending on the type of damage due to neuropathy (neuritis) and polyneuropathy (polinverite) in clinical manifestatoin will show a variety of symptoms:

  • impairments of movement (paresis, paralysis) in a particular muscle or muscle group;
  • changes in sensitivity in the direction of strengthening and weakening (numbness) or perversion;
  • trophic disorders (malnutrition and muscle atrophy, cyanosis of the skin, bad repair of skin trauma, trophic ulcers). Depending on the anatomical level of nerve lesion by neuropathy (neuritis) and polyneuropathy (polinverite) zones of sensitivity will be changed (numbness, tingling, "creepy").

Classical electrodiagnostics (ENG) with neuropathy (neuritis) and polyneuropathy (polinverite) is importance in the complex research due to period of 2 weeks and later after the nerve injury, helping to distinguish from degenerative disorders. Thus determined to a certain extent and prognosis of neuritis and polyneuritis, because the hole damaged the nerve trunks, particularly the brachial plexus, accompanied by degeneration, always uncertain as to the completeness and quality of the restoration of lost movement, especially in the distal limb.

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Diagnosis of the level and nature of nerve damage (with neuropathy) or multiple nerves (polinverite) produced by ENG.

 

Restoration of movement in the neuropathy (neuritis) and polyneuropathy (polinverite) to force 4-5 points is observed only in those muscles, which in classical electrodiagnostics (ENG) reveal reduced electroexitability or partial reaction of degeneration.

The reaction of complete degeneration of the nerve in neuropathy (neuritis) and polyneuropathy (polinverite) restoration movement in the muscles is observed.

In very recent times after nerve roots being damaged by neuropathy (neuritis) and polyneuropathy (polinverite) to identify loss electroexitability paralyzed muscles gives another reason in favor of abandoning the operation on the nerves.

Earlier than in other areas disappears electroexitability dorsum of the forearm muscles. Contrary to popular representations of small hand muscles in neuropathy (neuritis) and polyneuropathy (polinverite) are often more stable with respect to the ability to respond to the stimulation current.

Electromyography is a very helpful research method in closed injuries of the brachial plexus, capable of detecting changes in the dynamics of the neuromuscular system in the recovery process for neuritis. The corresponding electromyographic curve with the appearance of previously absent action potentials can be expected recovery movement long before the first clinical signs of recovery neuropathy (neuritis) and polyneuropathy (polinverite).

 

Neuropathy and polyneuropathy (neuritis, polyneuritis) treatment

Treatment options for neuropathy (neuritis) and polyneuropathy (polinverite) is chosen individually for each patient in each case. Treatment options should include a set of conservative procedures and operativ technique:

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The use of acupuncture to effectively restores the reduced sensitivity, reduces pain and muscle weakness in the treatment of peripheral nerves neuropathy and polyneuropathy.

 

The duration of treatment and its periodicity in neuropathy (neuritis) and polyneuropathy (polinverite) is dictated by further functional condition of the nerves, muscles and restores the lost sensitivity.

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Physiotherapy addresses paresthesias and pain, speeds up recovery of lost strength in the muscles in the treatment of peripheral nerves neuropathy and polyneuropathy.

 

If you have any questions about treatment and diagnosis of neuropathy (neuritis) and polyneuropathy (polinverite), you can ask them to our neurosurgeon or neurologist: (499) 130–08–09

 

 
 

 

Neurology, Neurosurgery
(499) 130-08-09
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