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Peripheral Neuropathy

Medical Author: Standiford Helm II, MD
Medical Editor: William C. Shiel, Jr., MD, FACP, FACR

What is a peripheral neuropathy?

Peripheral neuropathy is disorder of nerve(s) apart from the brain and spinal cord. Patients with peripheral neuropathy may have tingling, numbness, unusual sensations, weakness, or burning pain.

What causes a peripheral neuropathy?

There are many possible causes of peripheral neuropathy, including:

  1. Diabetes Mellitus

  2. Shingles (post herpetic neuralgia)

  3. Vitamin deficiency, particularly B12 and folate

  4. Alcohol

  5. Autoimmune diseases, including lupus, rheumatoid arthritis or Guillain-Barre syndrome

  6. AIDS, whether from the disease or its treatment, syphilis, and kidney failure

  7. Inherited disorders, such as amyloid polyneuropathy or Charcot-Marie-Tooth disease

  8. Exposure to toxins, such as heavy metals, gold compounds, lead, arsenic, mercury, and organophosphate pesticides

  9. Cancer therapy drugs such as vincristine (Oncovin, Vincasar), and other medications [for example antibiotics such as metronidazole (Flagyl), and isoniazid (Nydrazid, Laniazid)]

While diabetes and post herpetic neuralgia are the most common causes of peripheral neuropathy, often times no cause is found. In these situations, it is referred to as idiopathic peripheral neuropathy.

Sometimes, peripheral nerve entrapments, such as carpal tunnel syndrome, are considered peripheral neuropathies. In these cases, pressure on the nerve rather than a disease state leads to nerve malfunction.



Next: Is there any treatment for peripheral neuropathy? »

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Peripheral Neuropathy

What is orthostatic hypotension?

When a person stands up from sitting or lying down, the body must work to adjust to that change in position. It is especially important for the body to push blood upward and supply the brain with oxygen. If the body fails to do this adequately, blood pressure falls, and a person may feel lightheaded or even pass out. Orthostatic hypotension is the term used to describe the fall in blood pressure when a person stands (orthostatic= upright posture of the body; hypo= less + tension=pressure).

Adequate blood supply to the body's organs depends upon three factors:

  1. a heart strong enough to pump,
  2. arteries and veins that are able to constrict or squeeze, and
  3. enough blood and fluid within the vessels.

When the body changes position, a variety of actions occur involving all parts of the cardiovascular system as well as the autonomic nervous system that helps regulat...

Read the Orthostatic Hypotension article »











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