Sunday, November 16, 2008

Alcoholic neuropathy

1. What is the presentation of alcoholic neuropathy?
2. What does nerve biopsy show?
3. What does EMG show?
4. What is the treatment?

Answers:
1. Sensory abnormalities, foot or wrist drop, muscle spasms, Korsakoff's/Wernicke's syndrome. May be associated with a myopathy.
2. Wallerian degeneration.
3. SNAP and CMAP abnormal. EMG shows abnormal activity.
4. Vitamins, diet, stop alcohol, orthotics.

No comments: