The clinical, electrophysiological and prognostic heterogeneity of ulnar neuropathy at the elbow.
In: Journal of neurology, neurosurgery, and psychiatry, Jg. 79 (2008-12-01), Heft 12, S. 1364-7
Online
academicJournal
Zugriff:
Background: Ulnar nerve neuropathy is one of the most common entrapment neuropathies and is often considered to be one entity in clinical and follow-up studies.
Objective: The aim of this study was to determine whether there is a difference in the long term outcome of patients with a severe motor conduction block (mCB) of > or =50% (50% group) in comparison with patients with an mCB of < or =20% (20% group).
Methods: In a prospective cohort of 244 patients with ulnar neuropathy at the elbow (UNE), 16% had an mCB of > or =50%. These patients were matched with respect to surgery, age and severity of muscle weakness with patients with an mCB of < or =20%. 32 patients per group were evaluated clinically and electrophysiologically.
Results: The median follow-up period was 25 months. Based on the patient's assessment, 26 (81%) patients in the 50% group and 14 (44%) patients in the 20% group had a good outcome (p = 0.005). The clinical examination showed a good outcome in 27 (84%) in the 50% group and in 13 (41%) in the 20% group (p = 0.0008).
Conclusion: This study showed that the prognosis of patients with focal demyelination of the ulnar nerve presenting with an mCB of > or =50% is more favourable than those without an mCB.
| Titel: |
The clinical, electrophysiological and prognostic heterogeneity of ulnar neuropathy at the elbow.
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| Autor/in / Beteiligte Person: | Dunselman, HH ; Visser, LH |
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| Zeitschrift: | Journal of neurology, neurosurgery, and psychiatry, Jg. 79 (2008-12-01), Heft 12, S. 1364-7 |
| Veröffentlichung: | London : BMJ Publishing Group ; <i>Original Publication</i>: London : British Medical Association, 2008 |
| Medientyp: | academicJournal |
| ISSN: | 1468-330X (electronic) |
| DOI: | 10.1136/jnnp.2008.145110 |
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