Acromegaly Neuropathy

Diagnosis:

Clinical features of neuropathy plus diagnosis of acromegaly and exclusion of other causes

Clinical features:

Carpal tunnel syndrome, tarsal tunnel syndrome
Polyneuropathy

Findings on investigations:

NCS/EMG:

  • Carpal tunnel syndrome, tarsal tunnel syndrome
  • Polyneuropathy

Pathology, Nerve biopsy:

  • Initially: demyelination
  • Onion bulb formation in end stage

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