2017, Number 3
Electrophisiological assessment of diabetic patients
Language: Spanish
References: 15
Page: 187-192
PDF size: 207.04 Kb.
ABSTRACT
Foundation: diabetic polineropathy is the most frequent complication of diabetes mellitus. Currently however, it has not been defined it actual incidence and prevalence.Objective: to determine the neurophysiologic findings and the clinical characteristics of diabetic polineuropathy.
Methods: a descriptive, prospective and cross study was realized in the neurophysiology laboratory of the Paquito Gonzalez Cueto Pediatric Hospital, Cienfuegos, from March to June 2016. The universe was constituted by the 57 diabetic patients who had nerve conduction studies in that period. Patients older than 18 years of both sexes were included. The demographic variables analyzed were: age, sex, as well as those related to diabetes mellitus (evolution time). Likewise, the presence of sensory symptoms, such as pain, paresthesia, dysesthesia, among others, was determined. The percentage of patients with diabetic polyneuropathy was calculated and their relationship with age, sex, time of evolution of diabetes and sensory symptoms were determined. All statistical operations were performed with the SPSS 15.0 data analysis software for Windows.
Results: 94.7 % of patients presented motor involment, with criteria of diabetic polyneuropathy, the age ranged from 36 to 55 years, 43 were women (75.4 %), mean illness time was 10 years and 80.7 % reported sensitive symptoms.
Conclusiones: the exhaustive anamnesis to diabetic patients found symptoms suggestive of diabetic polyneuropathy, which also presented neurophysiological findings compatible with this pathology.
REFERENCES
Schoenaker DA, Toeller M, Chaturvedi N, Fuller JH, Soedamah-Muthu SS; EURODIAB Prospective Complications Study Group. Dietary saturated fat and fibre and risk of cardiovascular disease and all-cause mortality among type 1 diabetic patients: the EURODIAB Prospective Complications Study. Diabetologia. 2012;55(8):2132-41
England JD, Gronseth GS, Franklin G, Miller RG, Asbury AK, Carter GT, et al. Distal symmetric polyneuropathy: a definition for clinical research: report of the American Academy of Neurology, the American Association of Electrodiagnostic Medicine, and the American Academy of Physical Medicine and Rehabilitation. Neurology. 2005;64(2):199-207
Bril V, England J, Franklin GM, Backonja M, Cohen J, Del Toro D, et al. Evidence-based guideline. Treatment of painful diabetic neuropathy: report of the American Academy of Neurology, the American Association of Neuromuscular and Electrodiagnostic Medicine and the American Academy of Physical Medicine and Rehabilitation. Neurology. 2011;77(6):603