What is a stocking distribution?
Because the symptoms are often present in the areas covered by gloves or stockings, peripheral neuropathy is often described as having a “glove and stocking” distribution of symptoms. Peripheral neuropathy can involve different nerve types, including motor, sensory, and autonomic nerves.
What is length dependent axonal neuropathy?
About three-fourths of polyneuropathies are “length-dependent,” meaning the farthest nerve endings in the feet are where symptoms develop first or are worse. In severe cases, such neuropathies can spread upwards toward the central parts of the body.
What physical findings would indicate the presence of neuropathy?
Often, symptoms involve a progressive change in sensation, as well as pain and weakness in the feet (and less commonly the hands). As the neuropathy progresses, it can lead to a loss of sensation in the affected areas.
What are the three types of neuropathy?
To help doctors classify them, they are often broken down into the following categories:
- Motor neuropathy. This is damage to the nerves that control muscles and movement in the body, such as moving your hands and arms or talking.
- Sensory neuropathy.
- Autonomic nerve neuropathy.
- Combination neuropathies.
What does glove and stocking mean?
: glove anesthesia accompanied by anesthesia in the foot sometimes extending farther up the leg and usually associated with hysteric states.
What is the difference between axonal and demyelinating neuropathy?
Demyelinating neuropathy characteristically shows a reduction in conduction velocity and prolongation of distal and F-wave latencies, whereas axonal neuropathy shows a reduction in amplitude.
What causes glove and stocking paraesthesia?
characteristic pattern of numbness is one in which the distal portions of the nerves are first affected, the so-called “stocking-glove” pattern. This pattern occurs because nerve fibers are affected according to length of axon, without regard to root or nerve trunk distribution.
What causes stocking glove neuropathy?
What can be mistaken for neuropathy?
Peripheral neuropathy is the most common, impacting 7 in 10 diabetics, among others. PN is often mistaken for another common illness, multiple sclerosis (MS).
What is the most painful type of neuropathy?
Proximal neuropathy This type of nerve damage is usually only on one side of the body and can affect the hip, buttock, or thigh. Proximal neuropathy can cause severe pain and difficulty with movement, as well as weight and muscle loss.
Is there a difference between peripheral neuropathy and neuropathy?
Neuropathies frequently start in your hands and feet, but other parts of your body can be affected too. Neuropathy, often called peripheral neuropathy, indicates a problem within the peripheral nervous system. Your peripheral nervous system is the network of nerves outside your brain and spinal cord.
What is stocking and glove anesthesia?
Loss of sensation in the areas of skin covered by gloves and stockings. This occurs in certain peripheral nerve disorders from B vitamin deficiency and other causes, from SYPHILIS and sometimes as part of a neurotic conversion disorder.
What are the signs and symptoms of stocking and glove syndrome?
Some patients suffer pain in addition to the stocking and glove sensation. The condition usually begins as loss of feeling and a tingling sensation and gradually worsens if left untreated.
What is stocking and glove neuropathy?
Stocking and glove neuropathy derives its name from the fact that the sensation often mimics the feeling of wearing gloves or stockings. Physicians often refer to this condition as peripheral neuropathy 1 3. Is This an Emergency?
What is the stocking-glove distribution of polyneuropathy?
Stocking-glove distribution: When motor signs are minimal or absent, usually an axonal polyneuropathy; when accompanied by weakness and spasticity (eg, hyperreflexia, increased tone, extensor plantar response), sometimes cervical spondylosis or a demyelinating polyneuropathy or demyelinating lesion of the spinal cord.
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