Document Detail


Upper extremity neuropathies in patients with spinal cord injuries.
MedLine Citation:
PMID:  7640979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a cross-sectional study designed to screen and evaluate 19 male patients with acute or chronic spinal cord injury for the presence of carpal tunnel syndrome (CTS) and radial neuropathies (RNP) in order to establish the prevalence of CTS and RNP, to compare characteristics of persons with spinal cord injury who do not have these neuropathies, to evaluate the effects of their activities and to define the causation of these neuropathies in order to prevent their occurrence during and after the rehabilitation process. Patients admitted to the Spinal Cord Injury Service with acute and chronic spinal injury (below C3) were included in the study. The level of activity was determined with the Functional Independence Measure (FIM) Score. Patients underwent neurological examination. Neurophysiological studies were done in all cases to determine the presence, nature and duration of CTS and RNP. As longevity of the spinal cord injured population is increasing, heightened awareness of the prevalence of CTS and RNP are necessary to develop strategies to prevent and manage these neuropathies which may adversely affect the patient's quality of life. Of 19 patients studied, three had clinical CTS, confirmed by neurophysiological had no neuropathies and five had non-CTS neuropathies. No RNP was found, but one patient in the non-CTS group had symptomatic left ulnar neuropathy also confirmed by neurophysiological exam.
Authors:
B A Nemchausky; R M Ubilluz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  18     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-09-21     Completed Date:  1995-09-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  95-7     Citation Subset:  IM    
Affiliation:
Spinal Cord Injury Service, Hines VA Hospital, IL, USA.
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MeSH Terms
Descriptor/Qualifier:
Carpal Tunnel Syndrome / diagnosis,  epidemiology,  etiology*
Electrodiagnosis
Humans
Male
Paraplegia / complications
Peripheral Nervous System Diseases / diagnosis,  epidemiology,  etiology
Prevalence
Quadriplegia / complications
Radial Nerve*
Spinal Cord Injuries / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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