Habitual alcohol use , prolonged heavy use of alcohol, or alcoholism that is present for 10 years or more indicates high risk for alcoholic neuropathy. Prevention Avoid or minimize alcohol use . Total abstinence from alcohol may be necessary for persons with alcoholism . Symptoms may develop gradually and progressively become worse over time. Signs and tests Neuromuscular examination may reveal nerve dysfunctions.
Neurologic deficits are usually symmetrical.
Signs of autonomic dysfunction may be present. Eye inspection may show decreased pupil response or other abnormality. Lab tests may be performed as indicated by the history, signs, and symptoms to rule out other possible causes of neuropathy. Alcoholism is a risk factor for nutritional deficiency. Nerve biopsy may be used to rule out other possible causes of the signs and symptoms.