Ischemic peripheral neuropathy.
Ischemic neuropathy from sources other than diabetes is less common, but can be encountered in clinical practice. Diagnosis can be challenging, and many patients may be referred to the electrodiagnostic laboratory. Overlapping mononeuritis multiplex is a common presentation, but distal symmetric polyneuropathy and monomelic neuropathy patterns can be seen. Depending on the disease associated with ischemic neuropathy, a mononeuropathy or a sensory-motor, axonal-demyelinating peripheral neuropathy may be seen as well. The treatment of ischemic neuropathy varies depending on the associated disease. 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. Further study is needed to fully define the extent of the neurologic consequences of peripheral ischemia and its significance clinically.
Ugalde
V
V
Department of Physical Medicine and Rehabilitation, University of California Davis, Sacramento, California, USA. vougalde@ucdavis.edu
Rosen
B S
BS
D000208:Acute Disease; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000534:rehabilitation*; D002908:Chronic Disease; D003131:Combined Modality Therapy; D004568:Electrodiagnosis; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D017933:Peripheral Nervous System / Q000098:blood supply*; D010523:Peripheral Nervous System Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000534:rehabilitation*; D011379:Prognosis; D011877:Radionuclide Imaging