Child, foot problem, motor neuropathy diagnosed from nerve conduction test. Advise? - Online Doctor Chats
hello doctor ...
Gud evening... :)
How can I help you?
we have 6 months age baby girl..
she is having some problem in her foot..
today we have consulted pediotric neurologist
his name is XXXXXXX XXXXXXX aroor in bangalore...
we got the result as welll
he told us tat my baby has neuropathy problem..
did he tell you the cause?
he told us genetical disorder..
but any of our family members from myside or my wife side does not have this kind of problem..
can you tell me the exact diagnosis, XXXXXXX?
test name is : neuro conductive test
Not the test name
What does your child have
There are loads of genetic motor neuropathies
his findings on the report is : Motor neuropathy moderate to severe in upper limb & severe in both lower limb.
he has suggested the physiotheray...
could you please tell us what is motor neuropathy.. ?
Its a condition where the motor nerves do not function properly due to an abnormality in their structure or function
In different kind of neuropathies, different kind of defects are present
Physiotherapy helps since the nerves are stimulated which improves their function
wat is galvanic stimulation ?
Its like using current to stimulate the nerves
A small amount of current is used
so it helps to stimulate the nerves
i have one basic question..
why does the nerves abnormality happens ?
when there is a genetic problem ( which may not always be manifested in relatives)
some of the proteins are not ok
This causes the nerve function to decline
most of these disorders XXXXXXX are autosomal recessive
which means you will hardly have any relatives who have the problem\
But since both you and your wife have 1 defective gene for this
these 2 combined in your child to cause a problem
There is no problem with you
because you have 1 normal gene as well which produces enough protein
Is there any other concern that I can address?
for the problem which my daughter has how severe it is ?
is it curable by physiotherapy ?
what could be the impact of this problem in her growth ?
The severity and long term outlook can be decided only if I know the exact condition XXXXXXX
While physiotherapy should help
If its hereditary its unlikely to be curable
As I said , there are lots of hereditary motor neuropathies
As far as the growth is concerned,
She should attain her normal height and weight
But depending on the condiion
moving around can be a problem
So a part which is not used, typically doesnt develop very well
i will write down the procedure what they did it in hospital...
Do 1 thing XXXXXXX
Ask your doctor
yes tell me
the exact diagnosis
then we will be able to discuss this better
Use these words
Tell him you want to discuss with another doctor
so the technicals are required
i will write down the technicals what they mentioned in the report.
when can I see you back
just check & let me know is this helpful to discuss this better
i will give u now itself
MOTOR conduction and F wave studeis perfromed on right median, ULNAR and bilateral common peroneal[CP], Posterior Tibial [ PT] nerves and sensory conduction performed on right median ulnar and both sural nerve
this the the technicals mentioned in report
what is the treating doctor's impression
Dr XXXXXXX Rao's
results : Encl: Tracings of all recordings with relevant values. EMR amplitude severely reduced in right median and ulnar nerves and not elicited from both side CP, PT nerve
conclusion : findings suggest motor neuropathy moderate to severe in upper limb & severe in both lower limbs..
did u show these finding to dr suresh?
this is what the doctors impression as well ..
what did he say
he said go for physiotherapy & galvanic stimulation and consult him after 10 weeks..
he has given 3 types of medicine also
On his prescription, has he written the cause?
Can I speak with you on the phone right now
1. MECONERV - Z
I dont think I'm able to get my point across
give me call madam..
I'll just call you
Let me close this chat
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