Compressive Neuropathies-Dr. Rubin - Compressive Neuropathies

Dr. Rubin - Compressive Neuropathies

Pdf Summary

This document discusses the topic of fibular (peroneal) neuropathy, focusing on its localization, diagnostic studies, and management. The case presented is a 62-year-old man with weakness and numbness in his right foot. Possible localizations and diagnoses for unilateral foot drop are discussed, including various nerve and muscle disorders. The document also mentions the anatomy and etiologies of fibular nerve damage, as well as the usefulness of electrodiagnostic (EDX) techniques in evaluating patients with suspected fibular neuropathy. Specific EDX studies, such as motor nerve conduction studies and sensory nerve conduction studies, are recommended for making a diagnosis. Needle electromyography (EMG) is also mentioned as a useful tool for localization and assessment of the pathophysiology of fibular neuropathy. The document includes illustrations and findings from EDX studies, as well as information on the use of ultrasound and MRI imaging in the diagnosis and management of fibular neuropathy. The take-home points emphasize the value of EDX studies in confirming the diagnosis of fibular neuropathy and excluding other causes, as well as the importance of a combination of motor and sensory nerve conduction studies for localization. Needle EMG is highlighted as a useful tool for localization and prognosis. The document concludes with a section for questions and discussion.

Keywords

fibular neuropathy

localization

diagnostic studies

management

unilateral foot drop

nerve disorders

motor nerve conduction studies

sensory nerve conduction studies

needle electromyography

ultrasound imaging