Peripheral Nerve Disease in the Geriatric Population, An Issue of Clinics in Geriatric Medicine

1st Edition, Volume 37-2 - April 21, 2021
Editor: Peter H. Jin
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 6 0 3 - 3
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 6 0 4 - 0

This issue of Clinics in Geriatric Medicine, guested edited by Peter Jin, focuses on Peripheral Nerve Disease in the Geriatric Population. Topics include, but are not limited to… Read more

Peripheral Nerve Disease in the Geriatric Population, An Issue of Clinics in Geriatric Medicine

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This issue of Clinics in Geriatric Medicine, guested edited by Peter Jin, focuses on Peripheral Nerve Disease in the Geriatric Population. Topics include, but are not limited to: A clinical approach to diseases of peripheral nerve, Electrodiagnostic testing for disorders of peripheral nerves, The role of imaging for disorders of peripheral nerve, Common compression mononeuropathies, Diabetes and Peripheral Nerve Disease, When is it not just diabetic polyneuropathy? Findings in atypical polyneuropathies, Small Fiber Neuropathy in the Elderly, Cancer and peripheral nerve disease, Paraproteinemias and Peripheral Nerve Disease, Guillain-Barre Syndrome and other acute polyneuropathies, Chronic Immune-mediated Polyneuropathies, Immunotherapy for Peripheral Nerve Disorders, Management of Neuropathic Pain in the Geriatric Population, and more.　

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
A Clinical Approach to Disease of Peripheral Nerve
Key points
Introduction
Pattern of neuropathy
Symptoms of peripheral neuropathy
Clinical examination in patients with suspected neuropathy
Motor examination
Sensory examination
Reflexes
Gait
Autonomic function
Other neurologic examination
General examination
Recommended “bare minimum” examination in patients with suspected neuropathy
How can initial evaluation point toward possible cause of neuropathy in patients?
Patients with suspected neuropathy who should be considered for neurologic consultation and additional diagnostic studies
Treatment
Clinics care points
Supplementary data
Electrodiagnostic Testing for Disorders of Peripheral Nerves
Key points
Introduction
Ulnar neuropathy
Summary
Clinics care points
The Role of Imaging for Disorders of Peripheral Nerve
Key points
Introduction
Basics of nerve imaging
Ultrasound versus magnetic resonance imaging
Imaging in focal neuropathies
Case 1: a common clinical query—is this a case of fibular neuropathy or L5 radiculopathy?
Imaging in generalized neuropathies
Case 2: a case of lower extremity burning pain and urinary incontinence
Future directions
Summary
Clinics care points
Common Compression Neuropathies
Key points
Common compression mononeuropathies
Compression mononeuropathies
Diagnostic work-up for mononeuropathies
Management options
Summary
Clinics care points
Diabetes and Peripheral Nerve Disease
Key points
Introduction
Diabetes, prediabetes, and neuropathy
Typical distal symmetric polyneuropathy
Screening and diagnosis
Risk factors and pathophysiology
Pathophysiology
Prevention of diabetic neuropathy
Treatment of diabetic neuropathy
Diabetic autonomic neuropathy
“Atypical diabetic neuropathies”
Summary
Clinics care points
When Is It Not Diabetic Neuropathy? Atypical Peripheral Neuropathies, Neurologic Mimics, and Laboratory Work-up
Key points
Introduction
What are the components of typical diabetic neuropathy?
Testing for other etiologies of chronic, sensory-predominant, length-dependent peripheral neuropathy
Features of atypical neuropathy
Clinical patterns of non-neuropathy neurologic mimics
Should electrodiagnostic testing be ordered for neuropathy?
Clinical care points—features of atypical neuropathies that should prompt neurology consultation
Clinical care points—features of neurologic mimics of neuropathy that should prompt neurology consultation
Summary
Small Fiber Neuropathy in the Elderly
Key points
Clinical features
Diagnostic evaluation
Etiology evaluation
Management
Prognosis
Summary
Clinics care points
Cancer and Peripheral Nerve Disease
Key points
Introduction
Background
Causes and clinical presentations
General principles of diagnosis
How is cancer-related neuropathy treated?
Summary
Clinics care points
Paraproteinemias and Peripheral Nerve Disease
Key points
Introduction
Monoclonal gammopathy of undetermined significance
Waldenström macroglobulinemia
POEMS syndrome
Multiple myeloma
Diagnostic testing in nonamyloid paraproteinemic neuropathies
Amyloidosis
Summary
Clinics care points
Guillain-Barré Syndrome and Other Acute Polyneuropathies
Key points
Introduction
Epidemiology and risk factors
Clinical features
Guillain-Barré syndrome diagnosis
Pathophysiology
Guillain-Barré syndrome management
Summary
Clinics care points
Chronic Immune-Mediated Polyneuropathies
Key points
Introduction
Chronic inflammatory demyelinating polyradiculoneuropathy
Vasculitic neuropathies
Summary
Clinics care points
Immunotherapy for Peripheral Nerve Disorders
Key points
Introduction
Peripheral nerve disorders treated with immunotherapy
General factors to consider when choosing an agent
Frequently used immunotherapies in peripheral nerve disorders
Summary
Clinics care points
Management of Neuropathic Pain in the Geriatric Population
Key points
Introduction
Clinical features of neuropathic pain and distinguishing from other types of pain
Diagnosis of neuropathic pain
Treatment
Pharmacologic options
Alternative treatments
Summary
Clinics care points

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Peter H. Jin