Peripheral neuropathy in young-old and old-old patients

J. Verghese, P. L. Bieri, C. Gellido, H. H. Schaumburg, S. Herskovitz

Research output: Contribution to journalArticle

56 Scopus citations

Abstract

Diabetes is said to account for most cases of neuropathy in the elderly. We reviewed records of 223 young-old (65-79 years) and 77 old-old (≥80 years) patients referred for evaluation of neuropathic symptoms over a 9-year period. We prospectively validated our findings in 102 consecutive elderly (77 young-old) patients receiving intensive evaluation for neuropathy. Diabetes was the most common cause of neuropathy (41%), but was less common in the old-old (25% versus 46%, P<0.001). Idiopathic neuropathies were more common in the old-old (39% versus 9%, P < 0.001). Alcoholic and nutritional neuropathies were uncommon in the old-old. Electrophysiological studies showed that most patients had an axonal type of neuropathy. Sural and peroneal response amplitudes were poorly correlated with age. We obtained similar results in our prospective study. The distribution of causes of neuropathies in young-old and old-old patients, in a hospital-based sample, is age-related. Future studies need to include the old-old to better understand the nature of neuropathy in the elderly.

Original languageEnglish (US)
Pages (from-to)1476-1481
Number of pages6
JournalMuscle and Nerve
Volume24
Issue number11
DOIs
StatePublished - Nov 6 2001

Keywords

  • Diabetes
  • Elderly
  • Idiopathic
  • Peripheral neuropathy

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

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