Multiple mononeuropathy is a nervous system disorder that involves damage to at least two separate nerve areas. Neuropathy means a disorder of the nerves.
Mononeuritis multiplex; Mononeuropathy multiplex; Multifocal neuropathy; Peripheral neuropathy - mononeuritis multiplex
Multiple mononeuropathy is a form of damage to one or more peripheral nerves. These are the nerves outside the brain and spinal cord. It is a group of symptoms (syndrome), not a disease.
However, certain diseases can cause the injury or nerve damage that leads to the symptoms of multiple mononeuropathy. Common conditions include:
Less common causes include:
Symptoms depend on the specific nerves involved, and may include:
The goals of treatment are to:
To improve independence, treatments may include:
Safety is an important for people with sensation or movement problems. Lack of muscle control and decreased sensation may increase the risk for falls or injuries. Safety measures include:
Check shoes often for grit or rough spots that may injure the feet.
People with decreased sensation should check their feet (or other affected area) often for bruises, open skin areas, or other injuries that may go unnoticed. These injuries may become severely infected because the pain nerves of the area are not signaling the injury.
People with multiple mononeuropathy are prone to new nerve injuries at pressure points such as the knees and elbows. They should avoid putting pressure on these areas, for example, by not leaning on the elbows, crossing the knees, or holding similar positions for long periods.
Medicines that may help include:
Marco Luigetti is in Rome, Italy. Luigetti is rated as an Elite expert by MediFind in the treatment of Multiple Mononeuropathy. He is also highly rated in 22 other conditions, according to our data. His top areas of expertise are Multiple Mononeuropathy, Accessory Deep Peroneal Nerve, Transthyretin Amyloidosis, and Familial Transthyretin Amyloidosis.
Michiaki Koga is in Yamaguchi, Japan. Koga is rated as an Elite expert by MediFind in the treatment of Multiple Mononeuropathy. They are also highly rated in 12 other conditions, according to our data. Their top areas of expertise are Multiple Mononeuropathy, Miller-Fisher Syndrome, Guillain-Barre Syndrome, and Rasmussen Encephalitis.
Haruki Koike is in Nagoya, Japan. Koike is rated as a Distinguished expert by MediFind in the treatment of Multiple Mononeuropathy. He is also highly rated in 27 other conditions, according to our data. His top areas of expertise are Peripheral Neuropathy, Familial Transthyretin Amyloidosis, Chronic Polyradiculoneuritis, and Chronic Inflammatory Demyelinating Polyneuropathy.
A full recovery is possible if the cause is found and treated, and if the nerve damage is limited. Some people have no disability. Others have a partial or complete loss of movement, function, or sensation.
Complications may include:
Call your provider if you notice signs of multiple mononeuropathy.
Preventive measures depend on the specific disorder. For example, with diabetes, eating healthy foods and keeping a tight control of blood sugar may help prevent multiple mononeuropathy from developing.
Published Date : June 23, 2020
Published By : Amit M. Shelat, DO, FACP, FAAN, Attending Neurologist and Assistant Professor of Clinical Neurology, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Katirji B. Disorders of peripheral nerves. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 107.
Smith G, Shy ME. Peripheral neuropathies. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 392.