What Does This Nerve Conduction Study Report Indicate?

Posted on Wed, 2 Nov 2016

Question: Hello Sir,
My dad is a diabetic from past 21 years.His age is 60.He has problem in his right leg for which nerve conduction study was done and according to that his right leg veins are not in proper alignment because they are dried and got shrink.He has problem in walking and have extreme pain in right leg & back.He was suggested to go for IVIG treatment for the same.What would suggest for this?
I'll be sending you his reports from email id- YYYY@YYYY .
please reply asap.

Answered by Dr. Sudhir Kumar (3 hours later)

Brief Answer:
Additional tests are needed.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted the clinical details and nerve conduction reports of your father. He has neuropathy, where the nerves of legs and hands are damaged. Further tests are needed to determine the exact cause of neuropathy. If it is diabetic neuropathy, then, there is no specific therapy. On the other hand, if the cause is vasculitis or CIDP (chronic inflammatory demyelinating neuropathy, then, immunotherapy with steroids or IVIG would help.

Further tests such as lumbar puncture and nerve biopsy would help in confirming the diagnosis.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar