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Peripheral Neuropathy

Chapter 457 | Part 13: Neurologic Disorders · Part 13 – Neurologic Disorders · Chapter 457


Key Clinical Points

  1. Approximately 50% of patients with generalized symmetric peripheral neuropathy have no identifiable etiology (idiopathic or cryptogenic).
  2. Symmetric proximal and distal weakness with sensory loss is the hallmark of inflammatory demyelinating polyneuropathy (GBS and CIDP).
  3. CMT1 is the most common hereditary neuropathy, characterized by motor conduction velocities <38 m/s and onion bulb formation on biopsy.
  4. Small-fiber neuropathy: suspected if pain/temperature are lost while vibratory/position sense and muscle strength are preserved with normal NCS.
  5. Vitamin B12 deficiency is a primary cause of combined system degeneration (CNS involvement + neuropathy).
  6. Nerve biopsy is rarely performed; primarily indicated for suspected amyloid neuropathy or vasculitis.
  7. Skin biopsy can diagnose small-fiber neuropathy by measuring the density of small unmyelinated fibers.
  8. Autonomic dysfunction without diabetes should trigger suspicion for amyloid polyneuropathy.
  9. CSF pleocytosis in GBS/CIDP suggests non-inflammatory causes like HIV, Lyme, sarcoidosis, or lymphomatous infiltration.
  10. Distinction between axonopathy and myelinopathy is critical: Axonopathy shows low-amplitude potentials; Myelinopathy shows slow conduction velocities and prolonged latencies.

DEFINITION & CLASSIFICATION

Nerve Composition: Mixed fibers including sensory, motor, and autonomic. • Fiber Classifications: ◦ Large myelinated: Motor axons (typically ~50 m/s) and large-diameter sensory fibers (proprioception, vibration). ◦ Small myelinated & unmyelinated: Sensory fibers (pain, temperature) and autonomic nerves. • Pathology Classification: ◦ Neuronopathy/Ganglionopathy: Affecting the cell body. ◦ Myelinopathy: Affecting the myelin sheath. ◦ Axonopathy: Affecting the axon.

General Approach

Primary Goals: (1) Identify lesion location, (2) identify cause, (3) determine treatment. ◦ Clinical Evaluation: Includes history, physical exam, and electrodiagnostic (EDx) studies. ◦ Idiopathic/Cryptogenic: ~50% of cases have no identifiable etiology; typically predominantly sensory polyneuropathy.


EPIDEMIOLOGY

Idiopathic Cases: Approximately 50% of generalized symmetric peripheral neuropathies. • Hereditary: CMT is the most common form of hereditary neuropathy. • Acquired: Diabetes mellitus is a common cause of acquired neuropathy. • Sensory Predominance: The majority of neuropathies are predominantly sensory.


ETIOLOGY & PATHOPHYSIOLOGY

General Causes: Hereditary factors, metabolic disorders, drugs, toxins, infections, autoimmune diseases, and paraneoplastic syndromes. • Axonopathy Characteristics: ◦ Low-amplitude potentials. ◦ Relatively preserved distal latencies, conduction velocities, and late potentials. ◦ Fibrillations on needle EMG. • Segmental Demyelination Characteristics: ◦ Slow conduction velocities. ◦ Prolonged distal latencies and late potentials. ◦ Relatively preserved amplitudes. ◦ Absence of fibrillations on needle EMG. ◦ Indicators of acquired demyelinating neuropathy: Nonuniform slowing, conduction block, or temporal dispersion.

Hereditary Neuropathies

Charcot-Marie-Tooth (CMT): A syndrome of genetically distinct disorders. ◦ CMT1: Inherited demyelinating sensorimotor neuropathies. → Most cases have motor NCVs between 20 and 25 m/s. ◦ CMT2: Axonal sensory neuropathies. → Defined by motor conduction velocities in the arms slowed to 38 m/s. ◦ Inheritance: Mostly autosomal dominant (AD). ◦ Management: No medical therapies; physical/occupational therapy and bracing (e.g., AFOs) are used. ◦ Key Genetic Variants (Table 4): ◦ CMT1A: AD, 17p11.2, PMP22 (usually duplication). ◦ CMT1B: AD, 1q21-23, MPZ. ◦ CMT2B: AD, 3q13-q22, RAB7. ◦ CMT2P: AD and AR, 9q31.3-34.2, LRSAM1. ◦ Other variants include mutations in NEFL, MFN2, LMNA, etc.

Acquired Neuropathies

Metabolic/Systemic: Diabetes mellitus (common), Amyloidosis (consider in small-fiber cases). ◦ Inflammatory/Autoimmune: Vasculitis, Sjögren's syndrome, SLE. ◦ Infectious: HIV, Lyme disease, leprosy, hepatitis B, C, or E. ◦ Toxic: Medications (vincristine, cisplatin), alcohol, heavy metals (arsenic, lead, thallium). ◦ Paraneoplastic: Various syndromes associated with malignancy.


CLINICAL FEATURES

Symptoms: Numbness, altered sensation to touch (hyperpathia or allodynia), spontaneous sensations (tingling, burning, aching). ◦ Pain Types: → Protopathic: Burning, dull, poorly localized (polymodal C nociceptor fibers). → Epicritic: Sharp and lancinating (A-delta fibers). • Small-Fiber Neuropathy Indicators: → Loss of pain/temperature perception. → Preservation of vibratory/position sense, muscle strength, and deep tendon reflexes. → Normal Nerve Conduction Studies (NCS). → Common causes: Diabetes mellitus or glucose intolerance. • Sensory Neuronopathy/Ganglionopathy Indicators: → Severe proprioceptive loss + vibration loss + normal strength. → Asymmetric or affects arms more than legs (non-length-dependent). • Laboratory Evaluation for Generalized Symmetric Polyneuropathy: ◦ CBC, basic chemistries (electrolytes, renal/hepatic function). ◦ Fasting blood glucose (FBS), HbA1c, thyroid function. ◦ B12, folate, ESR, RF, ANA. ◦ SPEP, immunoelectrophoresis/immunofixation, and free light chains (serum/urine) for amyloid suspicion. ◦ Skeletal survey if M-spikes are present. ◦ Oral glucose tolerance test (even if FBS/HbA1c normal) for painful sensory neuropathies.

History & Physical Examination

Seven Key Questions (Table 1): 1. Systems involved: Motor, sensory, autonomic, or combinations. 2. Distribution of weakness: Only distal vs. proximal and distal; Focal/asymmetric vs. symmetric. 3. Nature of sensory involvement: Temperature loss/burning/stabbing (small fiber) vs. Vibratory/proprioceptive loss (large fiber). 4. Upper motor neuron (UMN) involvement: With or without sensory loss. 5. Temporal evolution: Acute (days to 4 weeks), Subacute (4–8 weeks), Chronic (>8 weeks); Monophasic, progressive, or relapsing-remitting. 6. Hereditary evidence: Family history; Lack of sensory symptoms despite sensory signs. 7. Associated conditions: Cancer, DM, autoimmune disease, infection, medications, preceding events/toxins.


DIFFERENTIAL DIAGNOSIS

Pattern 1: Inflammatory demyelinating polyneuropathy (GBS and CIDP). • Pattern 2: CSPN, DM, metabolic disorders, drugs, toxins, familial (HSAN), CMT, amyloidosis, CANVAS, SORD. • Pattern 3: Multifocal CIDP, vasculitis, cryoglobulinemia, amyloidosis, sarcoid, infectious (leprosy, Lyme, Hep B/C/E, HIV, CMV), HNPP, tumor infiltration; or mononeuropathy/plexopathy/radiculopathy. • Pattern 4: Polyradiculopathy or plexopathy due to DM, meningeal carcinomatosis/lymphomatosis, sarcoid, amyloid, hereditary plexopathy (HNPP, HNA), idiopathic. • Pattern 5: Motor neuron disease (with UMN) or progressive muscular atrophy, juvenile monomelic amyotrophy, multifocal motor neuropathy, multifocal acquired motor axonopathy (without UMN). • Pattern 6: Vitamin B12, E, and copper deficiency; chronic liver disease; hereditary leukodystrophies; HSP-plus. • Pattern 7: SMA (proximal/distal) or hereditary motor neuropathy (distal SMA) or atypical CMT. • Pattern 8: ALS (neck extensor), ALS/PLS, isolated bulbar ALS, Kennedy's syndrome, bulbar presentation GBS. • Pattern 9: Sensory neuronopathy (ganglionopathy): Cancer, CANVAS, Sjögren's, Idiopathic, Cisplatin, Vitamin B6 toxicity, HIV-related. • Pattern 10: Hereditary sensory and autonomic neuropathy, Amyloidosis, DM, GBS, Idiopathic pandysautonomia, Porphyria, HIV-related, Vincristine/chemotherapy.


DIAGNOSTIC APPROACH

  1. Electrodiagnostic (EDx) Study: • Consists of Nerve Conduction Studies (NCS) and needle electromyography (EMG). • Purpose: Confirm mononeuropathy, multiple mononeuropathy, radiculopathy, plexopathy, or polyneuropathy. • Differentiation: Distinguish sensory vs. motor/autonomic involvement; axonopathy vs. myelinopathy. • Axonopathy Indicators: Low-amplitude potentials, preserved distal latencies/conduction velocities, fibrillations on needle EMG. • Myelinopathy Indicators: Slow conduction velocities, prolonged distal latencies/late potentials, presence of conduction block or temporal dispersion.
  2. Autonomic Studies: • Used for small myelinated (A-delta) or unmyelinated (C) fiber involvement. • Tests: Heart rate response to deep breathing; heart rate and blood pressure response to Valsalva maneuver and tilt-table testing; quantitative sudomotor axon reflex testing. • Indicated when: Patient has pure small-fiber neuropathy or autonomic neuropathy where routine NCS are normal.
  3. Laboratory Screening: • Standard panel: CBC, chemistry, glucose (FBS/HbA1c), thyroid, B12, folate, ESR, RF, ANA, SPEP/immunofixation, free light chains. • Specific tests: Oral glucose tolerance test for painful sensory neuropathies; heavy metal screen only if exposure suspected or specific features present (e.g., thallium).
  4. Biopsy: • Nerve biopsy: Rarely performed; primary indications are suspicion of amyloid neuropathy or vasculitis. • Skin biopsy: Used to diagnose small-fiber neuropathy by measuring density of small unmyelinated fibers.

Flowchart: Approach to Evaluation

  1. Initial Screening: History and examination compatible with neuropathy? → No → Evaluate other disorder or reassurance. → Yes → Proceed to EDx.
  2. Mononeuropathy Path: → If Axonal → Determine if systemic disorder present → Treatment for specific diagnosis. → If Demyelinating with focal conduction block → Consider multifocal CIDP → If tests negative, consider treatment for CIDP.
  3. Polyneuropathy Path: → If Axonopathy → Determine if Subacute (months) or Chronic (years). → Subacute/Chronic: Review history for systemic disease/infection; treat specific diagnosis. → If Demyelinating → Assess conduction velocity characteristics. → Uniform slowing, chronic → Test for paraneoplastic; if negative, review family history/genetics → Treatment for CIDP. → Nonuniform slowing, conduction block → If acute: GBS → IVIg or plasmapheresis + supportive care (respiratory).
  4. Mononeuropathy Multiplex: → If Axonal → Consider vasculitis/multifocal process → Possible nerve biopsy. → If Demyelinating with focal conduction block → Consider multifocal CIDP.

MANAGEMENT & TREATMENT

  1. Pain Management (Table 6): • First-Line: ◦ Lidoderm 5% patch: Apply to painful area; up to 3 patches qd. ◦ Tricyclic antidepressants (amitriptyline, nortriptyline): PO; 10–100 mg qhs. ◦ Gabapentin: PO; 300–1200 mg tid. ◦ Pregabalin: PO; 50–100 mg tid. ◦ Duloxetine: PO; 30–60 mg qd. • Second-Line: ◦ Carbamazepine: PO; 200–400 mg q 6–8 h. ◦ Phenytoin: PO; 200–400 mg qhs. ◦ Venlafaxine: PO; 37.5–150 mg/d. • Third-Line: ◦ Mexiletine: PO; 200–300 mg tid.
  2. Acute Demyelinating (GBS): → IVIg or plasmapheresis → Supportive care including respiratory assistance.

Toxic Neuropathies (Table 7 & 8)

Vinca alkaloids: Axonal degeneration; symmetric S-M, large/small fiber PN; autonomic symptoms common. • Cisplatin: Predominant large-fiber sensory neuronopathy; sensory ataxia. • Taxanes: Symmetric, predominantly sensory PN; large-fiber modalities affected more than small-fiber. • Cytarabine: GBS-like syndrome; pure sensory neuropathy; brachial plexopathy. • Bortezomib: Length-dependent, sensory, predominantly small-fiber PN. • Misonidazole: Painful paresthesias and loss of large/small-fiber sensory modalities. • Chloroquine/Hydroxychloroquine: Loss of large/small-fiber; may have superimposed myopathy. • Colchicine: Numbness, paresthesias, loss of large-fiber; potential for myopathy. • Thalidomide: Axonal degeneration of dorsal root ganglia. • Dapsone: Distal weakness (may progress to proximal) or paresthesias/numbness. • Nitrofurantoin: Numbness, painful paresthesias, severe weakness (GBS-like). • Isoniazid: Dysesthesias and sensory ataxia; impaired large-fiber modalities. • Antinucleosides: Dysesthesia and sensory ataxia. • Lithium: Numbness with loss of large-fiber modalities.


COMPLICATIONS & PROGNOSIS

GBS/CIDP: Acute GBS requires monitoring for respiratory failure; CIDP is a chronic condition requiring long-term management. • Toxicity: Certain drugs (e.g., Vincristine, Cisplatin) cause significant axonal degeneration and may require discontinuation or dose adjustment.


SPECIAL POPULATIONS

Pediatric/Genetic: CMT patients require early identification for physical therapy and orthotics. • Cancer Patients: Paraneoplastic syndromes and chemotherapy-induced toxic neuropathies (e.g., Vincristine, Cisplatin) must be differentiated from primary neurological disorders.


KEY PEARLS & HIGH-YIELD POINTS

Rule of Thumb: If it's symmetric and demyelinating → GBS/CIDP. If it's asymmetric or involves specific nerve roots → Radiculopathy/Plexopathy. • Small Fiber Alert: Pain/temp loss + normal NCS = Small-fiber neuropathy (think DM, Amyloid). • Autonomic Clue: Autonomic dysfunction without DM → suspect Amyloid. • EDx Distinction: Axonopathy (Low amplitude) vs. Myelinopathy (Slow conduction/Block).


Reference Tables

TABLE 457-1 Approach to Neuropathic Disorders: Seven Key Questions 1. What systems are involved? 2. What is the…

Harrison's 22e, p.3596

    1. What systems are involved?
      • Motor, sensory, autonomic, or combinations
      2. What is the distribution of weakness?
      • Only distal versus proximal and distal
      • Focal/asymmetric versus symmetric
      3. What is the nature of the sensory involvement?
      • Temperature loss or burning or stabbing pain (e.g., small fiber)
      • Vibratory or proprioceptive loss (e.g., large fiber)
      4. Is there evidence of upper motor neuron involvement?
      • Without sensory loss
      • With sensory loss
      5. What is the temporal evolution?
      • Acute (days to 4 weeks)
      • Subacute (4–8 weeks)
      • Chronic (>8 weeks)
      • Monophasic, progressive, or relapsing-remitting
      6. Is there evidence for a hereditary neuropathy?
      • Family history of neuropathy
      • Lack of sensory symptoms despite sensory signs
      7. Are there any associated medical conditions?
      • Cancer, diabetes mellitus, connective tissue disease or other autoimmune
      diseases, infection (e.g., HIV, Lyme disease, leprosy)
      • Medications including over-the-counter drugs that may cause a toxic
      neuropathy
      • Preceding events, drugs, toxins

TABLE 457-2 Patterns of Neuropathic Disorders

  • Pattern 1: Symmetric proximal and distal weakness with sensory loss
  • Consider: inflammatory demyelinating polyneuropathy (GBS and CIDP)
  • Pattern 2: Symmetric distal sensory loss with or without distal weakness
  • Consider: cryptogenic or idiopathic sensory polyneuropathy (CSPN), diabetes
    mellitus and other metabolic disorders, drugs, toxins, familial (HSAN), CMT,
    amyloidosis, CANVAS, SORD neuropathy, and others
  • Pattern 3: Asymmetric distal weakness with sensory loss
  • With involvement of multiple nerves
  • Consider: multifocal CIDP, vasculitis, cryoglobulinemia, amyloidosis,
    sarcoid, infectious (leprosy, Lyme, hepatitis B, C, or E, HIV, CMV), HNPP,
    tumor infiltration
  • With involvement of single nerves/regions
  • Consider: may be any of the above but also could be compressive
    mononeuropathy, plexopathy, or radiculopathy
  • Pattern 4: Asymmetric proximal and distal weakness with sensory loss
  • Consider: polyradiculopathy or plexopathy due to diabetes mellitus, meningeal
    carcinomatosis or lymphomatosis, sarcoid, amyloid, hereditary plexopathy
    (HNPP, HNA), idiopathic
  • Pattern 5: Asymmetric distal weakness without sensory loss
  • With upper motor neuron findings
  • Consider: motor neuron disease
  • Without upper motor neuron findings
  • Consider: progressive muscular atrophy, juvenile monomelic amyotrophy
    (Hirayama’s disease), multifocal motor neuropathy, multifocal acquired
    motor axonopathy
  • Pattern 6: Symmetric sensory loss and distal areflexia with upper motor neuron
    findings
  • Consider: vitamin B , vitamin E, and copper deficiency with combined system
    12
    degeneration with peripheral neuropathy, chronic liver disease, hereditary
    leukodystrophies (e.g., adrenomyeloneuropathy), HSP-plus
  • Pattern 7: Symmetric weakness without sensory loss
  • With proximal and distal weakness
  • Consider: SMA
  • With distal weakness
  • Consider: hereditary motor neuropathy (“distal” SMA) or atypical CMT
  • Pattern 8: Focal midline proximal symmetric weakness
  • Neck extensor weakness
  • Consider: ALS
  • Bulbar weakness
  • Consider: ALS/PLS, isolated bulbar ALS (IBALS), Kennedy’s syndrome
    (X-linked, bulbospinal SMA), bulbar presentation GBS
  • Diaphragm weakness (SOB)
  • Consider: ALS
  • Pattern 9: Asymmetric proprioceptive sensory loss without weakness
  • Consider causes of a sensory neuronopathy (ganglionopathy):
  • Cancer (paraneoplastic)
    CANVAS
  • Sjögren’s syndrome
  • Idiopathic sensory neuronopathy (possible GBS variant)
  • Cisplatin and other chemotherapeutic agents
  • Vitamin B toxicity
  • 6
    HIV-related sensory neuronopathy
  • Pattern 10: Autonomic symptoms and signs
  • Consider neuropathies associated with prominent autonomic dysfunction:
  • Hereditary sensory and autonomic neuropathy
  • Amyloidosis (familial and acquired)
  • Diabetes mellitus
  • GBS
  • Idiopathic pandysautonomia (may be a variant of GBS)
  • Porphyria
  • HIV-related autonomic neuropathy
  • Vincristine and other chemotherapeutic agents

TABLE 457-3 Electrophysiologic Features: Axonal Degeneration versus Segmental Demyelination

Harrison's 22e, p.3597

AXONAL DEGENERATION SEGMENTAL
DEMYELINATION
Motor Nerve Conduction Studies
CMAP amplitude Decreased Normal (except with CB
or distal dispersion)
Distal latency Normal Prolonged
Conduction velocity Normal Slow
Conduction block Absent Present
Temporal dispersion Absent Present
F wave Normal or absent Prolonged or absent
H reflex Normal or absent Prolonged or absent
Sensory Nerve Conduction Studies

Table 457-2). In particular, if this loss is asymmetric or affects the arms more than the legs, this pattern suggests a…

Harrison's 22e, p.3597

Decreased
Normal
Normal
Needle EMG
Spontaneous activity
Fibrillations Present Absent
Fasciculations Present Absent
Motor unit potentials
Recruitment Decreased Decreased
Morphology Long duration, large
amplitude, polyphasic
(if there is reinnervation)
Normal

Harrison's 22e, p.3599

NAME INHERITANCE GENE LOCATION GENE
CMT1
CMT1A AD 17p11.2 PMP22 (usually duplication of gene)
CMT1B AD 1q21-23 MPZ
CMT1C AD 16p13.1-p12.3 LITAF
CMT1D AD 10q21.1-22.1 ERG2
CMT1E (with deafness) AD 17p11.2 PMP22 gene (usually point mutations)
CMT1F AD 8p13-21 NEFL
CMT1G AD 8q21 PMP22
AD 17p11.2
1q21-23
CMT dominant-intermediate (CMTDI)
CMT-DIA AD 10q24.1-25.1 ?
CMT-DIB AD 19.p12-13.2 DNM2
CMT-DIC AD 1p35 YARS
CMT-DID
CMT-DIE
CMT-DIF
CMT-DIG
AD
AD
AD
AD
1q22
14q32.33
3q26
8p31
MPZ
IFN-2
GNB4
NEFL
AR
AR
AR
AR
8q21.1
6q23
1p36
12q24
CMT2
CMT2A2 (allelic to HMSN VI with optic atrophy) AD 1p36.2 MFN2
CMT2B AD 3q13-q22 RAB7
CMT2B1 (allelic to LGMD 1B) AR 1q21.2 LMNA
CMT2B2 AR 19q13 PNKP
CMT2C (allelic to scapuloperoneal neuropathy) AD 12q23-24 TRPV4
CMT2D (allelic to distal SMA5)
CMT2DD
AD
AD
7p14
1p13
GARS1
ATP1A1
CMT2E (allelic to CMT1F)
CMT2EE
AD
AD
8p21
2p23
NEFL
MPV17
CMT2F AD 7q11-q21 HSPB1
CMT2G (allelic to CMT2P) AD 9q31.3-34.2 LRSAM1
CMT2I (allelic to CMT1B) AD 1q22 MPZ
CMT2J AD 1q22 MPZ
CMT2H, CMT2K (allelic to CMT4A) AD 8q13-q21 GDAP1
CMT2L (allelic to distal hereditary motor neuropathy
type 2)
AD 12q24 HSPB8
CMT2M AD 16q22 DNM2
CMT2N AD 16q22.1 AARS
CMT2O AD 14q32.31 DYNC1H1
CMT2P AD and AR 9q31.3-34.2 LRSAM1
CMT2P-Okinawa (allelic to HSMN2P) AD 3q13-q14 TFG
CMT2Q
CMT2RCMT2S
CMT2T
CMT2U
CMT2V
CMT2W
CMT2X
CMT2Y
CMT2Z
AD
AD
AD
ADAD
AD
AD
AD
AD
AD
10p14
4q
11q13.3
3q25.2
12q13
17q11
5q31
15q21.1
9p13
22q12
DHTKD1
TRIM2
IGHMBP2
MME
MARS1
NAGLU
HARS1
SPB11
VCP
MORC2

TABLE 457-5 Rare Hereditary Neuropathies Hereditary Disorders of Lipid Metabolism Metachromatic leukodystrophy Krabbe’s…

Harrison's 22e, p.3602

  • Hereditary Disorders of Lipid Metabolism
  • Metachromatic leukodystrophy
  • Krabbe’s disease (globoid cell leukodystrophy)
  • Fabry’s disease
  • Adrenoleukodystrophy/adrenomyeloneuropathy
  • Refsum’s disease
  • Tangier disease
  • Cerebrotendinous xanthomatosis
  • Hereditary Ataxias with Neuropathy
  • CANVAS (cerebellar ataxia, neuropathy, and vestibular areflexia syndrome)
    Friedreich’s ataxia
  • Vitamin E deficiency
  • Spinocerebellar ataxia
  • Abetalipoproteinemia (Bassen-Kornzweig disease)
  • Disorders of Defective DNA Repair
  • CANVAS
    Ataxia-telangiectasia
  • Cockayne’s syndrome
  • Giant Axonal Neuropathy
  • Porphyria
  • Acute intermittent porphyria (AIP)
  • Hereditary coproporphyria (HCP)
  • Variegate porphyria (VP)
  • Familial Amyloid Polyneuropathy (FAP)
  • Transthyretin-related
  • Gelsolin-related
  • Apolipoprotein A1-related

TABLE 457-6 Treatment of Painful Sensory Neuropathies THERAPY First-Line Lidoderm 5% patch Tricyclic antidepressants…

Harrison's 22e, p.3604

THERAPY ROUTE DOSE SIDE EFFECTS
First-Line
Lidoderm 5% patch Apply to painful area Up to 3 patches qd Skin irritation
Tricyclic antidepressants (e.g.,
amitriptyline, nortriptyline)
PO 10–100 mg qhs Cognitive changes, sedation, dry eyes and mouth, urinary retention, constipation
Gabapentin PO 300–1200 mg tid Cognitive changes, sedation, peripheral edema
Pregabalin PO 50–100 mg tid Cognitive changes, sedation, peripheral edema
Duloxetine PO 30–60 mg qd Cognitive changes, sedation, dry eyes, diaphoresis, nausea, diarrhea, constipation
Second-Line
PO 200–400 mg q 6–8 h
PO 200–400 mg qhs
PO 37.5–150 mg/d
PO 50 mg qid
Third-Line
Mexiletine PO 200–300 mg tid Arrhythmias
Other Agents
Apply cutaneously qid
Apply cutaneously qid

TABLE 457-7 Toxic Neuropathies Secondary to Chemotherapy DRUG Vinca alkaloids (vincristine, vinblastine, vindesine…

Harrison's 22e, p.3608

DRUG MECHANISM OF
NEUROTOXICITY
CLINICAL FEATURES NERVE HISTOPATHOLOGY EMG/NCS
Vinca alkaloids
(vincristine,
vinblastine, vindesine,
vinorelbine)
Interfere with axonal
microtubule assembly; impairs
axonal transport
Symmetric, S-M, large-/small-
fiber PN; autonomic symptoms
common; infrequent cranial
neuropathies
Axonal degeneration of myelinated
and unmyelinated fibers;
regenerating clusters, minimal
segmental demyelination
Axonal sensorimotor PN; distal
denervation on EMG; abnormal QST,
particularly vibratory perception
Preferential damage to dorsal
root ganglia:
? binds to and cross-links DNA
? inhibits protein synthesis
? impairs axonal transport
Predominant large-fiber
sensory neuronopathy; sensory
ataxia
Loss of large > small myelinated
and unmyelinated fibers; axonal
degeneration with small clusters
of regenerating fibers; secondary
segmental demyelination
Taxanes (paclitaxel,
docetaxel)
Promotes axonal microtubule
assembly; interferes with
axonal transport
Symmetric, predominantly
sensory PN; large-fiber
modalities affected more than
small-fiber
Loss of large > small myelinated
and unmyelinated fibers; axonal
degeneration with small clusters
of regenerating fibers; secondary
segmental demyelination
Axonal sensorimotor PN; distal
denervation on EMG; abnormal QST,
particularly vibratory perception
Unknown;? inhibition of
neurotrophic growth factor
binding;? neuronal lysosomal
storage
Symmetric, length-dependent,
sensory-predominant PN
None described
Unknown;? immunomodulating
effects
Subacute, S-M PN with diffuse
proximal and distal weakness;
areflexia; increased CSF protein
Loss of large and small myelinated
fibers with primary demyelination
and secondary axonal degeneration;
occasional epi- and endoneurial
inflammatory cell infiltrates
Cytarabine (ARA-C) Unknown;? selective
Schwann cell toxicity;?
immunomodulating effects
GBS-like syndrome; pure
sensory neuropathy; brachial
plexopathy
Loss of myelinated nerve fibers;
axonal degeneration; segmental
demyelination; no inflammation
Axonal, demyelinating, or mixed
S-M PN; denervation on EMG
Unknown;? selective dorsal
root ganglia toxicity
Length-dependent, sensory-
predominant PN; autonomic
neuropathy
None described
Bortezomib (Velcade) Unknown Length-dependent, sensory,
predominantly small-fiber PN
Not reported Abnormalities consistent with an
axonal sensory neuropathy with
early small-fiber involvement
(abnormal autonomic studies)

TABLE 457-8 Toxic Neuropathies DRUG Misonidazole

Harrison's 22e, p.3609

DRUG MECHANISM OF
NEUROTOXICITY
CLINICAL FEATURES NERVE HISTOPATHOLOGY EMG/NCS
Misonidazole Unknown Painful paresthesias and loss of large-
and small-fiber sensory modalities
and sometimes distal weakness in
length-dependent pattern
Axonal degeneration of
large, myelinated fibers;
axonal swellings; segmental
demyelination
Low-amplitude or unobtainable
SNAPs with normal or only slightly
reduced CMAP amplitudes
Unknown Painful paresthesias and loss of large-
and small-fiber sensory modalities
and sometimes distal weakness in
length-dependent pattern
Axonal degeneration
Chloroquine and
hydroxychloroquine
Amphiphilic properties may
lead to drug-lipid complexes
that are indigestible and result
in accumulation of autophagic
vacuoles
Loss of large- and small-fiber sensory
modalities and distal weakness
in length-dependent pattern;
superimposed myopathy may lead to
proximal weakness
Axonal degeneration with
autophagic vacuoles in nerves
as well as muscle fibers
Low-amplitude or unobtainable
SNAPs with normal or reduced
CMAP amplitudes; distal
denervation on EMG; irritability
and myopathic-appearing MUAPs
proximally in patients with
superimposed toxic myopathy
Amphiphilic properties may
lead to drug-lipid complexes
that are indigestible and result
in accumulation of autophagic
vacuoles
Paresthesias and pain with loss
of large- and small-fiber sensory
modalities and distal weakness
in length-dependent pattern;
superimposed myopathy may lead to
proximal weakness
Axonal degeneration and
segmental demyelination with
myeloid inclusions in nerves
and muscle fibers
Colchicine Inhibits polymerization of
tubulin in microtubules and
impairs axoplasmic flow
Numbness and paresthesias with loss
of large-fiber modalities in a length-
dependent fashion; superimposed
myopathy may lead to proximal in
addition to distal weakness
Nerve biopsy demonstrates
axonal degeneration; muscle
biopsy reveals fibers with
vacuoles
Low-amplitude or unobtainable
SNAPs with normal or reduced
CMAP amplitudes; irritability and
myopathic-appearing MUAPs
proximally in patients with
superimposed toxic myopathy
Binds to microtubules and
impairs axoplasmic flow
Sensory loss, tingling, muscle
weakness, and diminished muscle
stretch reflexes in length-dependent
pattern; autonomic neuropathy
Axonal degeneration
Thalidomide Unknown Numbness, tingling, and burning pain
and weakness in a length-dependent
pattern
Axonal degeneration; autopsy
studies reveal degeneration of
dorsal root ganglia
Low-amplitude or unobtainable
SNAPs with normal or reduced
CMAP amplitudes
Accumulation of neurofilaments
and impaired axoplasmic flow
Numbness, tingling, and burning pain
in a length-dependent pattern
Axonal degeneration with
accumulation of neurofilaments
in the axons
Dapsone Unknown Distal weakness that may progress to
proximal muscles; sensory loss
Axonal degeneration and
segmental demyelination
Low-amplitude or unobtainable
CMAPs with normal or reduced
SNAP amplitudes
Unknown Paresthesias and numbness in a
length-dependent pattern
Unknown
Nitrofurantoin Unknown Numbness, painful paresthesias, and
severe weakness that may resemble
GBS
Axonal degeneration; autopsy
studies reveal degeneration of
dorsal root ganglia and anterior
horn cells
Low-amplitude or unobtainable
SNAPs with normal or reduced
CMAP amplitudes
Unknown Dysesthesias and sensory ataxia;
impaired large-fiber sensory
modalities on examination
Marked loss of sensory axons
and cell bodies in dorsal root
ganglia
Isoniazid Inhibits pyridoxal
phosphokinase leading to
pyridoxine deficiency
Dysesthesias and sensory ataxia;
impaired large-fiber sensory
modalities on examination
Marked loss of sensory axons
and cell bodies in dorsal root
ganglia and degeneration of the
dorsal columns
Reduced amplitudes or absent
SNAPs and, to a lesser extent,
CMAPs
Unknown Numbness with loss of large-fiber
modalities on examination
Axonal degeneration
Antinucleosides Unknown Dysesthesia and sensory ataxia;
impaired large-fiber sensory
modalities on examination
Axonal degeneration Reduced amplitudes or absent
SNAPs
Unknown Numbness with loss of large-fiber
modalities on examination
Axonal degeneration and
segmental demyelination
Lithium Unknown Numbness with loss of large-fiber
modalities on examination
Axonal degeneration Low-amplitude or unobtainable
SNAPs with normal or reduced
CMAP amplitudes

TABLE 457-9 Causes of Radiculopathy • Herniated nucleus pulposus • Degenerative joint disease • Rheumatoid arthritis •…

Harrison's 22e, p.3614

  • • Herniated nucleus pulposus
    • Degenerative joint disease
    • Rheumatoid arthritis
    • Trauma
    • Vertebral body compression fracture
    • Pott’s disease (tuberculosis)
    • Compression by extradural mass (e.g., meningioma, metastatic tumor,
    hematoma, abscess)
    • Primary nerve tumor (e.g., neurofibroma, schwannoma, neurinoma)
    • Carcinomatous meningitis
    • Perineurial spread of tumor (e.g., prostate cancer)
    • Acute inflammatory demyelinating polyradiculopathy
    • Chronic inflammatory demyelinating polyradiculopathy
    • Sarcoidosis
    • Amyloidoma
    • Diabetic radiculopathy
    • Infection (Lyme disease, herpes zoster, HIV, cytomegalovirus, syphilis,
    schistosomiasis, Strongyloides)
    • Arachnoiditis (e.g., postsurgical)
    • Radiation

TABLE 457-10 Lumbosacral Plexopathies: Etiologies • Retroperitoneal hematoma • Psoas abscess • Malignant neoplasm •…

Harrison's 22e, p.3616

  • • Retroperitoneal hematoma
    • Psoas abscess
    • Malignant neoplasm
    • Benign neoplasm
    • Radiation
    • Amyloid
    • Diabetic radiculoplexus neuropathy
    • Idiopathic radiculoplexus neuropathy
    • Sarcoidosis
    • Aortic occlusion/surgery
    • Lithotomy positioning
    • Hip arthroplasty
    • Pelvic fracture
    • Obstetric injury