Abordagem clínica e eletrofisiológica em neuropatias periféricas

Authors

  • José Antonio Garbino

Keywords:

Peripheral Nervous System Diseases, Electromyography

Abstract

The author point out the crucial aspects related to the Peripheral Neuropathy diagnostic for the electromyographer and the clinician. He correlates the clinicai and electrophysiologic findings to the peripheral nerve physiopathology. The author also presents some specific solutions to a selected matters.

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References

ARNASON, B.G.W., SOLIVEN, B. Acute inflammatory demyelinating Polyradiculoneuropathy. In: DYCK, PJ. & THOMAS, PK. Peripheral Neuropathy, 3 ed., Philadelphia,W.B. Saunders Company, 1993, p.1437-1497.

BELL, J.A. Light touch-deep pressure testing using Semmes-Weinstein monofilaments. In: HUNTER, M.J., et al. Rehabilitation of the Hand. St. Louis-Toronto, C.Y Mosby Company, 1984,p.399-406.

BELL, J.A. Semmes-Weinstein monofilament testing for determining cutaneous light touch-deep pressure sensation. The Star, Dec,p.8-11,1984.

BELL-KROTOSKI, J.A. Light touch-deep pressure testing using Semmes-Weinstein monofilaments. In: HUNTER, J.M., SCHNEIDER, L.H., MACKIN, E.J., CALLAHAN, A.D. Rehabilitation of the Hand, 3 ed., St. Louis-Toronto, C.V. Mosby Company, 1990,p.585-93.

BELL-KROTOSKI, J.A. Pocket filaments and specifications for the Semmes-Weinstein monofilaments. J.Hand, 3:26-31,1990.

BELL-KROTOSKI, J.A. Sensibility testing. State of the art. In.: HUNTER, J.M., SCHNEIDER, L.H., MACKIN, E.J., CALLAHAR, A.D. Rehabilitation of the hand, 3 ed., St. Louis-Toronto, C.V. Mosby Company, 1990,p.557-84.

BELL-KROTOSKI, J.A. & BUFORD, WL. The force-time relation ship of clinically used sensory testing instruments. J.Hand Ther., 1:76-85,1988.

BELL-KROTOSKI, J.A & TOMANCIK, E. The repeatability os testing with Semmes-Weinstein monofilaments. J.Hand Surg., 12:155-61,1987.

BIRKE, J.A. & SIMS, D.S. Plantar sensory threshold in the ulcerative foot. Leprosy Rev., 57:261-267,1986.

BOUCHE, P Electrophysiological studies in the assessment of Polyneuropathies. Neurophysiol.Clin., 18: 101-22, 1988.

BRAKEL, WH V. Peripheral Neuropathy in Leprosy: The Continuing Challenge Utrecht. Universiteit Utrecht, Faculteit Geneeskunde, 1994.

BROWN, M.J. & BARINGER, J.R. Differentiating the diabetic neuropathies. Hosp.Pract., 15:37-44,1994.

CORNBLATH, D. R., et al. Conduction Block in clinical pratice. Muscle & Nerve, 14:869-871,1991.

CORNBLATH, D. R., KUNCL R.M., MELLITS, E.D., et. al. Nerve conduction studies in Amyotrophic Lateral Sclerosis. Muscle ft Nerve, 15:1111-1115,1992.

DE FARIA, C.R. & SILVA, I.M. Electromyographic diagnosis in leprosy. Arq. Neuropsiquiatr, 48:403-13,1990.

DYCK, P.J., PRINGAS J., ROLLARD, J. Chronic Inflammatory Demyelinating Polyradiculoneuropathy. In: DYCK, PJ. & THOMAS, PK. Peripheral Neuropathy, 3 ed., Philadelphia, W.B.Saunders Company, 1993,p.1498-1517.

DYCK, P.J. Quantitation Severity of Neuropathy, In: DYCK, PJ. & THOMAS, PK. Peripheral Neuropathy, 3 ed., Philadelphia, W.B.Saunders Company, p.686-697.

DYCK, P.J., THOMAS, RK. Peripheral Neuropathy, 3 ed., Philadelphia, W.B.Saunders Company, 1993.

DYCK,P.J.,OVIATT,K.RAND LAMBERT, E.H. Intensive evaluation of refered undiagnosed neuropathies yields improved diagnosis. Ann.Neurol., 10:222,1981.

DONDE, S.V., et al. Nerve conduction in leprosy: in vivo and in vitro study. Leprosy In India, 55:12-21,1983.

DONOFRIO, P.D. Electrodiagnostic evaluation of polyneuropathy. American Association of Electrodiagnostic Me-dicine. AAEM annual meeting. In: Course D: Problem solving in Electrodiagnostic Medicine, Charleston, South Carolina, 1992.

FALCK, B., HURME, M., HAKKARAINEN, S., AARNIO, P Sensory conduction velocity of plantar digital nerves in Morton's metatarsalgia. Neurology, 34(5),may,p.698-701,1984.

FALCK, B, STALBERG, E. & BISCHOFF C. Sensory Nerve Conduction Studies with Surface Electrodes. Methods In clinical Neurophysiology,5,(1),may,1994.

GARBINO, J. A. Eletroneuromiografia em Hanseniase. In: DUERKSEN, F.& VIRMOND, M. Cirurgia Reparadora e Reabilitaçao em Hanseniase. Bauru, ALM International, 1997,p.93-104.

GARBINO, J. A. & STUMP PR.N.A.G. Experiência de reabilitaçao de 5 irmaos com neuropatía sensorial here-ditária. In: JORNADA PAULISTA DE FISIATRIA, 2, Campinas, 1986, Anais, Campinas, Sociedade Brasileira de Medicina Física e Reabilitaçao, 1986,p.8-11.

GILMORE, J.E., ALLEN, J., HAYES, J.R. Automic function in neuropathic diabetic patients with foot ulceration. Diabetes Care, 16:61-7,1993.

GOMES, M.M. Neuropatías Periféricas: Desordens relevantes na comunidade? Rev.Bras.Neurol., 30(6):207-213,1994.

HENDRIKSEN, P.H., OEY PL, WIENEKE, G.H., BRAVENBOER, B., BANGA, J.D. Subclinical Diabetic Polineuropathy: early detection of envolvement of different nerve fibre types. J.Neurol.Neurosurg.Psychiatry, 55:902-8,1992.

KAPLAN, M. & GELBER, R.H. Evaluation of testing modalities for peripheral neuropathy in lepromatous Hansen's Disease. Phys.Ther., 65:1662-1665,1985.

KARAT, S., et al. Electromyographic findings in conduction velocities of ulnar nerves in leprosy. Leprosy In India, 42:77,1970.

KIMURAJ. Principles and pifalls of nerve conduction studies. Ann. Neurol., 16:415-429,1984.

KIMURA, J. Nerve conduction studies and electromyography. In: DICK, PJ., THOMAS, PK. Peripheral Neuropathy, 3 ed., W. B. Saunders Company, 1993,p.598-644.

KLIMA, R.R., WEIGAND, A.H., DEUSA, J.A. Nerve conduction studies and vibration perception thresholds in diabetic and uremic neuropathy. AmJ.Phys.Med.Rehabil., 70:86-90,1991.

LEHMAN, L.F.; ORSINI, M.B.P, NICHOLL, A.R.J. The development and adaptation of the Semmes-Weinstein monofilaments in Brazil. J.Hand Ther., 6:290-9,1993.

LEVY, D.M., ABRAHAM, R.R., ABRAHAM, R.M. Small and large fibre involvement in early diabetic neuropathy: a study with the medial plantar response and sensory thresholds. Diabetes Care, 10:441-7,1987.

LEVY D.M., REID, G., ROWLEY D.A.,ABRAHAM, R.R.Quantitative measures of sympathetyc skin response in diabetes: relation to sudomotor and neurological function. J.Neurol.Neurosurg.Psychiatry, 55:902,1992.

LEVY, D., ABRAHAM, R., RE ID, G. A. A comparison of two methods for measuring thermal thresholds in diabetic neuropathy. J.Neurol. Neurosurg. Psychiatry, 52:1072-7,1989.

LE QUESNE, P.M., FOWLER, C.J., PARKHOUSE, N. Peripheral neuropathy profile in various groups of diabetic. J.Neurol.Neurosurg.Psychiatry, 53:558 63,1990.

MARCIANO, L.H.S.C. & GARBINO, J.A. Comparaçao de técnicas de monitoraçao da neuropatía hanseniana: teste de sensibilidade e estudo de conduçao nervosa. Hansenol.lnt., 19:5-10,1994.

MC LEOD, J.G., et al. Nerve conduction studies in leprosy. IntJ.Leprosy, 41:21-31,1974.

MC LEOD, J.G., TUCK, R.R., ROLLAND, J.D., et. al. Chronic polyneuropathy of undertermined cause. J.Neurol. Neurosurg. Psychiatry, 47:530,1984.

NAVARRO, X., KENNEDY W.R., FRIES, T.J. Small nerve fiber dysfunction in diabetic neuropathy. Muscle & Nerve, 12:498-507,1989.

OH, S.J. Clinical Eletromyography Nerve Conduction Studies. Baltimore, Willians & Wilkins,1993.

PARRY G.J. Motor Neuropathy with multifocal conduction block. In: DYCK,PJ.&THOMAS, PK. Peripheral Neuropathy, 3 ed., Philadelphia, W.B. Saunders Company, 1993,p.1518-1524.

ROWLAND, L.P Merrifs Textbook of Neurology, 9 ed., Baltimore-USA, Willians & Wilkins., 1995.

SCHOENBERG, B.S. & MELTON, J.III. Epidemiologic Approaches to Peripheral Neuropathy, In: DYCK, PJ. & THOMAS, PK. Peripheral Neuropathy, 3 ed., Philadelphia, W.B. Saunders Company, 1993, p. 775-783.

SETHI R.K., AND THOMPSON L.L. The Electromyographer's Handbook. Litle, Boston-Toronto, Brown and Company, 1989.

SMITH, B.E. WINDEBANK, and DYCK, PJ. Nonmalignant inflamatory Sensory Polyganglionopathy In: DYCK, PJ. 8c THOMAS, PK. Peripheral Neuropathy., 3 ed., Philadelphia, W.B.Saunders Company, p.1525-1531,1993.

SOUZA, A. Avaliaçao da eficácia dos monofllamentos de Semmes Weinstein no diagnóstico e evoluçao da neuropatía diabótica através da análise comparativa com o estudo eletrofisiológico dos nervos e da correlaçao com o exame clínico. Sao Paulo, 1997, Tese. Universidade Federal de Sao Paulo - Escola Paulista de Medicina.

SRNIVASAN, H. & STUMPE. Value of termal sensibility testing in leprosy diagnosis in the field trial of a pocket device. Lepr.Rev., 60:317-326, 1989.

STALBERG, E. And FALK, B. Clinical motor nerve conduction studies. Methods in: Clinical Neurophysiology, 4:sept., 1993.

THOMAS, PK.,TONILINSON, D.R. Diabetic and Hypoglycemic Neuropathy In: DYCK, PJ. 8c THOMAS, PK. Peripheral Neuropathy, 3 ed., Philadelphia, W.B.Saunders Company, 1993,p.1219-1250.

THOMAS, PK. 8( OCHOA, J. Clinical features and differential diagnosis. In: DYCK, PJ., THOMAS, PK. Peripheral Neuropathy., W. B. Saunders Company, 1993,p.749-774.

WATKINS, PJ. 8< EDMONDWS, M.E. Sympathetic nerve failure in diabets. Diabetologia 25:73-7,1983.

Published

1998-04-09

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Section

Artigo de Atualização

How to Cite

1.
Garbino JA. Abordagem clínica e eletrofisiológica em neuropatias periféricas. Acta Fisiátr. [Internet]. 1998 Apr. 9 [cited 2024 May 17];5(1):11-7. Available from: https://www.revistas.usp.br/actafisiatrica/article/view/102171