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VOL. 4, ISSUE 2 (2019)
Clinical profile of peripheral neuropathy in geriatric population
Authors
Dr. Girish Kumar Sharma, Dr. Pranay Dhurvey, Dr. Rita S Saxena, Dr. TN Dubey
Abstract
Background: Aetiology of neuropathy in elderly is varied, and the leading causes include vasculitis, diabetes, alcohol and nutritional deficiencies. The diagnostic work up needs to be tailored to each individual patient based on the bedside history and examination. Aims and Objectives: To describe clinical profile of peripheral neuropathy in geriatric population and correlate symptoms and pattern of involvement with nerve conduction study and aetiology of peripheral neuropathy respectively. Materials and Methods: Two hundred patients were studied in the department of Medicine and Gandhi Medical College and associated Hamidia Hospital Bhopal from 2017-2018. Complete Blood Count with ESR, urine R & M, fasting Blood Sugar, post Prandial Blood Sugar, Renal Function Test, Liver Function Test, serum protein, lipid profile, serum creatinine, serum urea, T3, T4, TSH, CRP, PS for comment, serum NA+ and K+, USG abdomen and chest X-Ray(PA view) was performed in all the patients. Nerve conduction study was done in all subjects to observe the pattern and type of various peripheral neuropathies. Results: Most common age group was 65-70 years (73.5%) with male preponderance (68.5%)]. Neuropathy was most common among the patients who were overweight. In present study 134 (64.5%) patients were having normal BMI. Abnormal vitamin B 12 level was present in 8 out of 10 patients. Out of 200 patients, 7 (3.5%) patients were RA factor positive. Most common nerve conduction results was mixed sensorimotor neuropathy in 38 (19%) patients followed by motor axonal neuropathy [7 (3.5%)]. Most common diagnosis in present study was diabetic neuropathy [96 (48%)] followed by hypothyroidism [26 (13%)], alcohol Related Neuropathy [11 (5.5%)] and anemia [11 (5.5%)]. Conclusion: Peripheral neuropathy was more prevalent in elderly patients with diabetes mellitus and hypothyroidism. Majority elderly patients had moderate sign (calculated as per NDS) and symptoms (calculated as per NSS) at presentation. NCS revealed that mixed type of sensorimotor neuropathy to be followed by motor axonal neuropathy among elderly patients.
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Pages:118-122
How to cite this article:
Dr. Girish Kumar Sharma, Dr. Pranay Dhurvey, Dr. Rita S Saxena, Dr. TN Dubey "Clinical profile of peripheral neuropathy in geriatric population". International Journal of Medicine Research, Vol 4, Issue 2, 2019, Pages 118-122
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