Index to Chiropractic Literature
Index to Chiropractic Literature
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Tuesday, May 18, 2021
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ID 11212
  Title Neurological features of acromegaly: A review and report of two cases
URL https://www.ncbi.nlm.nih.gov/pubmed/2844943
Journal J Manipulative Physiol Ther. 1988 Aug;11(4):314-321
Author(s)
Subject(s)
Peer Review Yes
Publication Type Review
Abstract/Notes

The neurological features of acromegaly are reviewed and two cases are reported. The most common neurological complications of active hypersomatotropism are headache, acroparesthesia and visual disturbance. Primary peripheral neuropathy, myopathy, entrapment myelopathy and/or cauda equina syndrome are uncommon, especially in young acromegalics. It is postulated that peripheral neuropathy in acromegaly is due to the entrapment of a nerve secondary to a soft tissue edematous mechanism by traumatic compression, angulation and/or stretching of the nerve in acquired extraspinal intermuscular, fibrous or osseofibrous tunnel stenosis; and/or in acquired spinal lateral recess stenosis, rather than true primary neuropathic or secondary endocrinological complications of hypersomatotropism. Proximal weakness is more likely arthropathic rather than myopathic, neuropathic or endocrinologic. Differential diagnosis of backache is briefly discussed. Further investigations of the mechanisms and the conservative treatment for neurological involvements in acromegaly are needed.

This abstract is reproduced with the permission of the publisher. Article only available in print.


 

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