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Peripheral Nerve Injuries
Peripheral Nerve Injuries
PATHOLOGY
Ranvier node
Neurapraxia
Axonotmesis
Neurotmesis
Neurapraxia
Sensory symptoms
Motor symptoms
Negative symptoms:
Sensory examination:
Large myelinated sensory fibres include:
Light touch
two-point discrimination
Vibration sense
Joint-Position sense
Small unmyelinated and thinly myelinated
sensory fibres include:
Temperature perception
Pain perception
Polyneuropathy: “glove-and-stocking”
distribution of sensory loss.
Joint-position sense is lost, gait is abnormal
(sensory ataxia), Romberg’s test (+). It can be
compensated for by vision, therefore the stance
becomes unsteady when the eyes are closed.
Motor examination:
Classical features of a lower motor neuron
abnormality include:
Distal Wasting of muscles, can occur with
generalized weight loss, but weakness is rare.
Weakness of muscles
Depressed or absent tendon reflex
Fasciculation
Investigation of peripheral neuropathy
Introduction
A severe paroxysmal facial pain syndrome
Pain is confined mainly to the area supplied by the
second and third divisions of trigeminal nerve.
Characteristically, lightninglike momentary jabs of
excruciating pain occur and spontaneously abate.
Develops in middle to later life
Uncertain cause.Microvascular compression is the
cause in some cases.
Clinical features