Surgical management of complicated peripheral neuropathies in diabetic patients /
Abdelhamid Hamdy Abdelhamid Shady
Surgical management of complicated peripheral neuropathies in diabetic patients / العلاج الجراحى لمضاعفات اعتلال الأعصاب الطرفية فى مرضى البول السكرى Abdelhamid Hamdy Abdelhamid Shady ; Supervised Amr Mahmoud Safwat , Ahmed Amr Taher , Ahmed Elsaid Ahmed - Cairo : Abdelhamid Hamdy Abdelhamid Shady , 2014 - 120 P. : facsimiles ; 25cm
Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neurosurgery
The "double crush" or "double pathology" hyopthesis, a term originally coined for increased susceptibility of nerves with proximal and distal compressive lesions. The metabolic stress of diabetes is the first crush, and compression of the nerve at the potential site of entrapment will cause the second crush. According to this hypothesis, most patients remain asymptomatic despite having diabetic nerve disease. Only when the second pathology occurs (compression of the nerves at entrapment sites) will the patients become symptomatic. Thus, it has been hypothesized that symptoms in diabetic sensorimotor neuropathy may be due, in part, to compression of multiple peripheral nerves
Complicated Peripheral Neuropathies in Diabetic Patients Surgical Management
Surgical management of complicated peripheral neuropathies in diabetic patients / العلاج الجراحى لمضاعفات اعتلال الأعصاب الطرفية فى مرضى البول السكرى Abdelhamid Hamdy Abdelhamid Shady ; Supervised Amr Mahmoud Safwat , Ahmed Amr Taher , Ahmed Elsaid Ahmed - Cairo : Abdelhamid Hamdy Abdelhamid Shady , 2014 - 120 P. : facsimiles ; 25cm
Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neurosurgery
The "double crush" or "double pathology" hyopthesis, a term originally coined for increased susceptibility of nerves with proximal and distal compressive lesions. The metabolic stress of diabetes is the first crush, and compression of the nerve at the potential site of entrapment will cause the second crush. According to this hypothesis, most patients remain asymptomatic despite having diabetic nerve disease. Only when the second pathology occurs (compression of the nerves at entrapment sites) will the patients become symptomatic. Thus, it has been hypothesized that symptoms in diabetic sensorimotor neuropathy may be due, in part, to compression of multiple peripheral nerves
Complicated Peripheral Neuropathies in Diabetic Patients Surgical Management