Electrophysiological Changes in Uncontrolled Type-2 Diabetic People with Peripheral Neuropathy
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Introduction: Diabetes mellitus the incidence of which is very high in our nation and presenting as a serious health problem. Some of its serious complications are retinopathy, neuropathy, nephropathy and vascular problems. Among these peripheral neuropathy is reaching 60-70% of the diabetic population especially if it is uncontrolled and of longer duration. Majority of cases of neuropathy can be delayed with judicious control of hyperglycemia and early diagnosis of neuropathy. Nerve conduction studies are of great help in the diagnosis and treatment of neuropathy. Materials And Methods: After the judicious elimination of possible other types of neuropathies, the study group consists of 30 subjects with uncontrolled diabetes mellitus type -2 between the age groups of 40-55yrs, of both sexes. Study period is from June 2014 to June 2015.All the cases are from an endocrinology center present in Visakhapatnam. All these patients were subjected to electrophysiological studies in the neurophysiolology laboratory at Visakhapatnam. Instrument used is NeuroPerfect. The nerves selected for the study are: Motor- median nerve, ulnar nerve in the upper limb, lateral poplitial and posterior tibial in lower limb. Sensory- median nerve, ulnar nerve in upper limb and sural nerve in the lower limb. Results: Motor Changes: The distal latencies are increased in ulnar of the upper limb and lateral popliteal in the lower limb. Amplitude is decreased in ulnar and posterior tibial nerves. Slowing of (NCV) was prominent in all the cases.”F” wave was normal. Sensory Changes: The Amplitude was extremely low in the sural nerve. Amplitude and NCV were moderately decreased in median and ulnar nerves. Conclusion: In our study diabetic neuropathy most commonly manifests as symmetrical peripheral polyneuropathy, the most common manifestation being symmetrical sensory loss in the distal lower extremities and motor deficits. Upper extremity involvement is less common progressing in the duration of the disease
Authors and Affiliations
Dr. Subbarao Goteti
Keywords
Related Articles
- EP ID EP212177
- DOI -
- Views 80
- Downloads 0
Effect of Health Education Intervention on Knowledge and Practice about reproductive health among Adolescent Female Students
Adolescence is the most important period of one’s Life. It is a fundamental component of an individual's overall health status and a central determinant of quality of life. Aims of the study: The aim of this study was to...
Urinary 8-Ohdg an Oxidative Stress Marker to DNA and Total Antioxidant Status levels in Oral Cancer Patients
Recently there has been a significant shift in mortality rate from infectious diseases to non-communicable diseases. Oral cancer is one of the commonest malignancies in India. Approximately 60,000 newly diagnosed cases o...
Omental Prolapse Presenting 72 Hours after Delivery. Delayed Manifestation or Delayed Presentation: An Enigma
Vaginal birth after caesarean section (VBAC) is a safe and effective method to reduce the rate of repeated CS and its associated morbidity and mortality but its success depends on many factors. Omental prolapse secondary...
A Study of Safety and Outcome of Non Operative Management of Blunt Abdominal Trauma
Blunt trauma continues to be the most common mechanism of injury to the abdomen. Now with the improvement in diagnostic & therapeutic intervention, modern treatment tilts more towards non-operative management of blunt tr...
Same-Day Discharge in Laparoscopic Acute Non-Perforated Appendectomy in our Hospital
LAPAROSCOPIC appendectomy has become one of the most common laparoscopic surgery performed in day to day of a surgeon. Advantages outrage far more when compared to open appendectomy and thus the shift from to open to min...