EMG - "MILD AXONAL NEUROPATHY"

Posted by pm56 @pm56, Jul 30 12:41pm

Hello - wondering if anyone else has been diagnosed with axonal neuropathy? Backstory in a nutshell - 6 years of evolving autoimmune disease i.e. RA of hips and spine, Axial Spondyloarthropathy, Psoriatic Arthritis. Primary symptoms are severe back/hip and muscle pain which causes abnormal gait, with additional shoulder, groin, sometimes elbow pain, inflammation where tendons attach to bone, lower extremity weakness, plus the V-sign on my chest (but no obvious biomarkers to give us any clues other than high rheumatoid factor and inflammatory markers CRP & ESR).

I have a pattern of marked bilateral leg weakness/shuffling when I wean from steroid therapy, which was especially severe this time around and landed me in a wheelchair, and my rheumatologist wanted to rule out myositis and myasthenia gravis and ordered an EMG with a neurologist. By the time we were able to get a consult and the test scheduled, I'd already been back on steroids for a while, and I was able to walk again. The test ruled out both conditions but showed that my legs had a delayed signal/reaction and diagnosed mild axonal neuropathy "likely related to underlying autoimmune condition." My rheumatologist said it was probably due to inflammation. Every problem I have is always due to inflammation! I did some googling and many of the things I read don't seem to relate to me. Does anyone else have this "axonal neuropathy" diagnosis and a similar experience to me?

TIA!

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

Profile picture for starfish26 @starfish26

You're definitely not alone! I've felt alone as of late but then remembered that Mayo has this supportive type of environment. I'm glad I clicked the link. I've got Axonal and Coronal Chronic Inflammatory Demyelinating Polyneuropathy or CIDP. Not fun!! Waiting for the next round of specialists. My body is reliable about 20% of the time, so it seems. Seropositive rheumatoid arthritis, Hypercontractile esophagus, PLMD, chronic Inflammatory sinus disease (going to see a new ENT specialist this afternoon in regards to that surgery coming up) , Fibromyalgia, Anterior Rectocele, Cystocyle, Perineocele, Spastic pelvic floor syndrome, Migraine, DDD all throughout my spine with some angry herniations, Intractable pain, and unfortunately many more comorbidities. You're not alone. I was just referred back to a GI specialist at Northwestern and am scheduled to see him in May...he added me to the wait list fortunately. I'm told that the only place that can accommodate my case for pelvic floor pt is within some outpatient pt center at Northwestern. Going to make those calls to get on the books. I've got more to share but my body is telling me it's time for a little rest before the new ent surgeon. Wish me luck!

Jump to this post

Hope you get moved up into a cancellation spot and get seen sooner!!

REPLY
Profile picture for heisenberg34 @heisenberg34

I don't smoke, I don't chew, and I don't go with girls who do!

Jump to this post

Hope Linda is aware of that, lol.

REPLY
Profile picture for pm56 @pm56

Hope Linda is aware of that, lol.

Jump to this post

Absolutely! Do we know each other?

REPLY

I don’t believe so! You mentioned her name on your “about me” and seemed like you might be up for a laugh 😊

REPLY

I have a family history of CMT (formally known as Hereditary Sensory Neuropathy). My four children and I went to Weill Cornell Hospital for a Whole Exome Test in 2018 that not only looks for gene mutations but they compared my results against my four children in hopes of finding common gene mutations that we all share. We also all underwent EMGs. Turns out I was diagnosed with chronic and severe Sensorimotor Axonal Polyneuropathy, CMT2 and CMT4B. My children were all positive for CMT so this neurological disorder is now in the 8th generation in our family. CMT comes down on the X chromosome so thanks to all the women on my mothers side of our family. It turns out I’m also a SMA and GAN carrier. Fortunately, my children did not inherit the SMA or GAN mutations so those gene mutations will die with me. My children do not have Sensorimotor Axonsonal PN so that's a blessing. I basically have no sensation below my hips do walking is difficult and my balance is awful. What can I say, life is challenging? I have a great support system. My wife and my three daughters are very supportive. My son - not so much. I also have CML which the Veterans Administration linked to Agent Orange and the contaminated water at Camp LeJeune, NC. The VA does provide Uber rides for me to go to all my medical appointments because I cannot drive due to the PN. I'm not on any drugs for the PN but I'm on a strict chemo regimen for Leukemia. I also have to have monthly labs and infusions at Sloan Cancer Center. Like I mentioned earlier - life is challenging. But as Dorie the fish said, “we swim because that's what we do.”

REPLY
Profile picture for mjpm2406 @mjpm2406

I have a family history of CMT (formally known as Hereditary Sensory Neuropathy). My four children and I went to Weill Cornell Hospital for a Whole Exome Test in 2018 that not only looks for gene mutations but they compared my results against my four children in hopes of finding common gene mutations that we all share. We also all underwent EMGs. Turns out I was diagnosed with chronic and severe Sensorimotor Axonal Polyneuropathy, CMT2 and CMT4B. My children were all positive for CMT so this neurological disorder is now in the 8th generation in our family. CMT comes down on the X chromosome so thanks to all the women on my mothers side of our family. It turns out I’m also a SMA and GAN carrier. Fortunately, my children did not inherit the SMA or GAN mutations so those gene mutations will die with me. My children do not have Sensorimotor Axonsonal PN so that's a blessing. I basically have no sensation below my hips do walking is difficult and my balance is awful. What can I say, life is challenging? I have a great support system. My wife and my three daughters are very supportive. My son - not so much. I also have CML which the Veterans Administration linked to Agent Orange and the contaminated water at Camp LeJeune, NC. The VA does provide Uber rides for me to go to all my medical appointments because I cannot drive due to the PN. I'm not on any drugs for the PN but I'm on a strict chemo regimen for Leukemia. I also have to have monthly labs and infusions at Sloan Cancer Center. Like I mentioned earlier - life is challenging. But as Dorie the fish said, “we swim because that's what we do.”

Jump to this post

First - I thank you for your service, but I am so sorry for everything you've gone through as a result of it. Since you mentioned Sloan and Weill Cornell - can I assume you're either in New York, or somewhere within the Tri-State area? My rheumatologist was at HSS, then at Weill Cornell, and now is in private practice with hospital privileges at New York Presbyterian. I get my infusions downtown at the William St. New York Presbyterian location (that's been a bit of a challenge as I'm on Long Island!)

Thank you for sharing the information on Sensorimotor Axonal Polyneuropathy and CMT. So far, my doctors don't seem to believe the cause to be neurological, but I have an upcoming appt on 8/6 and will ask more questions. Wishing you the very best with your treatment at Sloan. And thank you for the great quote from one of my favorite movies!!!!

REPLY
Please sign in or register to post a reply.