1. [Peripheral neuropathies: Diagnostic strategy].
- Author
-
Magy L
- Subjects
- Acute Disease, Biopsy methods, Electrophysiology methods, Genetic Testing statistics & numerical data, Humans, Peripheral Nervous System Diseases classification, Peripheral Nervous System Diseases etiology, Peripheral Nervous System Diseases therapy, Diagnostic Techniques, Neurological, Peripheral Nervous System Diseases diagnosis
- Abstract
Diagnosing a peripheral neuropathy is sometimes challenging, as the causes are diverse and the clinical pictures heterogeneous. Overall, diagnosing a patient with peripheral neuropathy will require some knowledge in almost every field of medicine. Therefore, it appears crucial to adopt a diagnostic strategy that is based on solid clinical and neurophysiological grounds. The present paper describes a three-step diagnostic strategy: (1) to delineate a clinico-pathologic entity from clinical and electrodiagnostic findings; (2) to propose a list of plausible causes based on step one, history and clinical context; (3) to use appropriate workup in order to determine the cause or mechanism of the neuropathy. The three steps of this diagnostic strategy necessitate a high level of expertise and interaction between physicians is highly desirable. Finally, an aggressive course and a severe impairment should lead to relentlessly look for a curable cause., (Copyright © 2017 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier SAS. All rights reserved.)
- Published
- 2018
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