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-   -   Acute Peripheral Neuropathy, Havn't found an answer (https://www.neurotalk.org/peripheral-neuropathy/224506-acute-peripheral-neuropathy-havnt-found-answer.html)

Neuroproblem 08-14-2015 03:46 AM

Quote:

Originally Posted by tholden85 (Post 1162447)
Thanks Glenn,

My neuro originally thought it was a spinal cord issue as my symptoms were very symmetrical and seemed to have a definite level (ie below my waist) where they started. However nothing showed up on the several MRI's and since then my arms, hands and face have become involved.

It is certainly true that I originally had some loss of strength and movement indicating motor involvement. On both of my emg's my neuro said that there was a slight abnormality however was only very minor and it could be inflammation and that it did not really give him any clue as to what it might be.

Would MS cause these body wide sensory changes in the presence of two normal MRI's? Does it often take time for these peripheral neuropathies such as CIDP to show up in nerve studies?

ms has more widespread effects, because ms cause lesions in parts of the brain, it usually come with alot of symptoms besides PN.

glenntaj 08-14-2015 06:17 AM

On what levels--
 
--were your MRI's done?

Given that your symptoms were originally lower body, did they just image the lumbar spine, or did they go up the ladder as well, with imaging of the thoracic and cervical spine and even the brain?

The problem, when looking for symptoms caused by damage to the central as opposed to the peripheral nervous system, is that while damage to nerve ROOTS--the first peripheral nerves that exit the spinal cord--tend to have effects in fairly specific anatomical regions (known as dermatomes), damage to the spinal cord itself can cause symptoms anywhere from the level of the damage on down, given that the cord contains vertical nerve tracts. And upper cervical/thalamic/brain inflammation may cause symptoms almost anywhere.

_dreamer_ 08-14-2015 06:47 AM

Hi. Just wanted to welcome you. I'm new (not new to pain, but new to the forum) and it's really a great place for support.

Did you have a skin punch biopsy to test for SFN? There's some kind of a sweat test they can do as well. I just had a biopsy last week, and am awaiting results.


Welcome.

February 08-14-2015 08:45 AM

Quote:

Originally Posted by glenntaj (Post 1162514)
--were your MRI's done?

Given that your symptoms were originally lower body, did they just image the lumbar spine, or did they go up the ladder as well, with imaging of the thoracic and cervical spine and even the brain?

The problem, when looking for symptoms caused by damage to the central as opposed to the peripheral nervous system, is that while damage to nerve ROOTS--the first peripheral nerves that exit the spinal cord--tend to have effects in fairly specific anatomical regions (known as dermatomes), damage to the spinal cord itself can cause symptoms anywhere from the level of the damage on down, given that the cord contains vertical nerve tracts. And upper cervical/thalamic/brain inflammation may cause symptoms almost anywhere.

While going through diagnosing for gbs/cidp, I was given mri's of spine and head. 3 altogether, the last being with and without contrast. With that test I wore head gear.

tholden85 08-17-2015 08:48 PM

Glenn I had a full spine mri in Africa and when I got back to australia had 2 full spine and brain mri,s with contrast. All scans were normal with no ms plaques seen.

Dreamer I have not had a skin biopsy to test for sfn. Although given my muscle weakness at the time Glenn and my neurologist think that pure sfn would be unlikely.

I have also been having body wide fasciculations. Do fasciculations occur with sfn?

I have been on steroids for 8 days now. The first 6 days my neuropathy was actually worse. A few sleepless night's in pain, but the last 2 days I have improved. Has anybody had any success with steroids at least in the short term.

Once again thanks for your replies.

Tim


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