Updates in the correlation of electroneuromyographic findings in diabetic polyneuropathy

Autor: Jardón-Reyes A; Instituto Mexicano del Seguro Social, Unidad de Medicina Física y Rehabilitación Norte “Dr. Victorio de la Fuente Narváez”, Curso de especialidad médica en Medicina de Rehabilitación. Ciudad de México, México, Hernández-Amaro H, Hernández-Torres G, Devesa-Gutiérrez I
Jazyk: Spanish; Castilian
Zdroj: Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2018 Nov 30; Vol. 56 (4), pp. 354-359. Date of Electronic Publication: 2018 Nov 30.
Abstrakt: Background: The diabetic neuropathy is the most common microvascular complication of diabetes mellitus. The reported prevalence ranges from 10-90%. Electrophysiological alterations can be demonstrated in nearly 100% of diabetics.
Objective: To know the current profile of the patient with diabetic polyneuropathy.
Methods: Retrospective and descriptive study from 2015 to 2016. Reports of electroneuromyography with diabetic polyneuropathy result were analyzed, evaluating neuroconduction parameters of motor and sensory nerves, late F responses and myography. Descriptive statistics, Student's t-test and Pearson's correlation coefficient were used.
Results: The sample included 72 men (65.5%) and 38 women (34.5%), mean age 61.2 years, mean duration of diabetes of 9.9 years. The most affected nerve was superficial peroneus, absent in 70% of the population.A positive correlation was found (p < 0.001) for the affection of all the nerves symmetrically and predominantly in neuroconduction velocities of the lower and upper limbs.
Conclusion: The most frequent electrophysiological finding in diabetic polyneuropathy was sensory affection, being more severe in lower limbs. A finding in patients with recent diagnosis is the prolongation of proximal latencies in the lower extremities.
Databáze: MEDLINE