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What Causes Sensory Loss Of Proprioception?

Posted on Fri, 26 Aug 2016

Question: I have sensory loss of proprioception. Is this from the motor nervous system or the sensory nervous system?

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:
This is from the sensory nervous system.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist and would be pleased to help you.

Sensory loss of proprioception pertains to the sensory nervous system. Typically, the large sensory nerve fibers, dorsal root ganglion and posterior columns of spinal cord are affected to produce loss of proprioception.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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

Follow up: Dr. Sudhir Kumar (23 minutes later)

If i have a demyelinating motor neuropathy could that explain why i have proprioception loss?

Answered by Dr. Sudhir Kumar (36 minutes later)

Brief Answer:
Motor neuropathy can not explain

Detailed Answer:
Thank you for getting back.

Motor neuropathy alone can not explain. There has to be additional sensory neuropathy to explain the loss of proprioception. In most cases of neuropathy, there is involvement of motor as well as sensory nerves.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (1 minute later)

These were the results of my test.

Answered by Dr. Sudhir Kumar (2 minutes later)

Brief Answer:
There is no comment regarding sensory nerves.

Detailed Answer:
Thank you for sending the report. The report mentions about the motor nerves, and there is no mention of sensory nerves. If they were tested, then, they could have mentioned that "sensory nerves are normal". So, I am not sure whether the sensory nerves were tested or not.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (1 minute later)

So this report doesnt mention the sensory nervous system?

Answered by Dr. Sudhir Kumar (2 minutes later)

Brief Answer:
Yes, there is no mention of sensory nerves.

Detailed Answer:
I agree that there is no mention of sensory nerves.

One can presume that the sensory nerves were normal, and hence, not mentioned. However, when I write a report, I always mention " sensory nerves are normal".

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (1 minute later)

Do you think they might not have tested the sensory nerves?

Answered by Dr. Sudhir Kumar (2 minutes later)

Brief Answer:
They should have tested.

Detailed Answer:
The clinical finding mentioned is "numbness in the legs". This would require testing of sensory nerves. However, it is difficult to guess whether they tested sensory nerves or not, as there is no mention in the report.

If you can send the full report, I can make out better.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (2 minutes later)

Does this help?

Answered by Dr. Sudhir Kumar (2 minutes later)

Brief Answer:
Sensory nerves have been tested.

Detailed Answer:
Yes, this report shows that two sensory nerves have been tested and they were normal. However, the most commonly tested nerve (sural nerve) has not been tested. In sensory neuropathy, sural nerve is the most commonly affected nerves.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (4 minutes later)

Could these results still validate me having what i express as numbness everywhere or more recently i express as proprioceptive issues?

Answered by Dr. Sudhir Kumar (21 minutes later)

Brief Answer:
Neuropathy can account for your symptoms

Detailed Answer:
Thank you for getting back.

Neuropathy can account for your symptoms. However, it is also important to determine the cause of neuropathy. The common causes are diabetes, vitamin B12 deficiency, vasculitis, hypothyroidism and autoimmune CIDP (chronic inflammatory demyelinating polyradiculoneuropathy).

Identification of exact cause would help in starting the appropriate therapy.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (5 minutes later)

Thank you so much. You are the only doctor who helped m figure this out. e

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:
Thank you

Detailed Answer:
Thank you and best wishes.

Would be pleased to assist you in future too.

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (48 hours later)

Are my results indicative of why I would have proprioceptive loss and is that symptom treatable with ivig?

Answered by Dr. Sudhir Kumar (8 hours later)

Brief Answer:
Most probably sensory nerves are also affected.

Detailed Answer:
Thank you for getting back.

Reports show involvement of motor nerves. In all likelihood, sensory nerves are also affected. Sural nerves were not tested. So, a repeat nerve conduction study may be done.

IVIG is useful in one of the conditions that affect nerves, namely CIDP (chronic inflammatory demyelinating polyradiculopathy). This diagnosis can be confirmed by nerve conduction studies, lumbar puncture and nerve biopsy.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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