The Sensitivity of Clinical Diagnostic Methods in the Diagnosis of Diabetic Neuropathy  

Oleh:

Onde, M.E. ; Ozge, A. ; Senol, M.G. ; Togrol, E.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of International Medical Research vol. 36 no. 01 (Jan. 2008), page 63-70.
Topik: Diabetic Neuropathy

Ketersediaan

Perpustakaan FK Nomor Panggil: J11.K.2008.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

This study assessed the sensitivity of various methods for the clinical diagnosis of diabetic peripheral neuropathy. A total of 147 randomly selected patients with diabetes mellitus and 65 age- and sex-matched healthy controls were evaluated by various clinical (the neuropathy symptom score [NSS], the neuropathy disability score [NDS], vibration perception thresholds [VPTs], Tinel’s sign and Phalen’s sign), laboratory (fasting plasma glucose and glycosylated haemoglobin levels) and electrophysiological (nerve conduction studies, H-reflex and F-wave measurements) methods. In the patient group, 8.2% had an abnormal NSS, 28.5% had a positive Phalen’s sign, 32.6% had a positive Tinel’s sign, 42.8% had an abnormal VPT and 57.1% had an abnormal NDS. Significant correlations were found between electrophysiologically confirmed neuropathy and the two provocation tests and abnormal VPTs. In conclusion, assessment with a complete neurological examination and standard electrophysiological tests is very important for the diagnosis of diabetic peripheral neuropathy and the prevention of morbidity in patients with or without symptoms.

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