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Related Concept Videos

Diabetic Neuropathy01:22

Diabetic Neuropathy

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DefinitionDiabetic neuropathy is nerve damage caused by long-standing diabetes mellitus. It results directly from prolonged high blood sugar levels.PathophysiologyThe pathophysiology of diabetic neuropathy involves both metabolic and vascular disturbances triggered by chronic hyperglycemia.Metabolic injury: Elevated glucose levels activate the polyol pathway within nerve cells, leading to the accumulation of sorbitol and fructose. This increases oxidative stress, disrupts normal nerve...
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The Peripheral Nervous System (PNS) is a crucial component of the body's neural network, extending beyond the central nervous system (CNS) to bridge the gap between the CNS and the external environment. It encompasses nerves, ganglia, and sensory receptors.
Nerves
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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Sympathetic Pathways: Sympathetic Chain Ganglia01:20

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The sympathetic chain ganglia, also known as the sympathetic trunk ganglia or paravertebral ganglia, are a series of ganglia located bilaterally on either side of the spinal column. These ganglia serve as relay stations for the sympathetic nervous system. Preganglionic neurons originating in the spinal cord project their axons to the sympathetic chain ganglia. Within the ganglia, these preganglionic fibers synapse with postganglionic neurons.The postganglionic neurons of the sympathetic trunk...
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Updated: Apr 22, 2026

Establishing a Mouse Model of a Pure Small Fiber Neuropathy with the Ultrapotent Agonist of Transient Receptor Potential Vanilloid Type 1
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Peripheral systems: neuropathy.

Rajani P Maiya1, Robert O Messing1

  • 1College of Pharmacy, University of Texas, Austin, TX, USA.

Handbook of Clinical Neurology
|October 14, 2014
PubMed
Summary
This summary is machine-generated.

Excessive alcohol consumption causes alcoholic neuropathy, damaging peripheral nerves through direct toxicity and oxidative stress. Abstinence and B vitamin supplements may help, but new treatments are needed.

Keywords:
acetaldehydealcohol use disorderaxonal transportcytoskeletonethanolfolateneuropathyoxidative stresspainprotein kinase C epsilonthiamine

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Area of Science:

  • Neuroscience
  • Toxicology
  • Neurology

Background:

  • Alcoholic neuropathy is a common complication of chronic alcohol abuse.
  • It is characterized by sensory and motor deficits, axonal degeneration, and nerve conduction abnormalities.
  • Nutritional deficiencies, particularly B vitamins, often accompany alcoholism and contribute to nerve damage.

Purpose of the Study:

  • To review the clinical manifestations of alcoholic neuropathy.
  • To explore the molecular mechanisms underlying ethanol's neurotoxicity in peripheral nerves using animal models.
  • To discuss current treatment strategies and the need for novel therapeutic approaches.

Main Methods:

  • Review of clinical findings in patients with alcoholic neuropathy.
  • Analysis of recent studies using animal models to elucidate ethanol's effects on peripheral nerve function.
  • Examination of molecular pathways, including acetaldehyde toxicity, oxidative stress, protein kinase Cε signaling, and axonal transport disruption.

Main Results:

  • Ethanol causes direct neurotoxic effects via acetaldehyde and oxidative stress.
  • Ethanol activates signaling pathways that lower nociceptive thresholds.
  • Ethanol disrupts cytoskeletal function and axonal transport, leading to nerve degeneration.

Conclusions:

  • Alcoholic neuropathy involves complex molecular mechanisms including direct toxicity and altered signaling.
  • While abstinence and nutritional support are foundational, treatment variability highlights the need for new therapies.
  • Further research into molecular mechanisms is crucial for developing effective treatments for alcoholic neuropathy.