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Background: It is not yet clear if gravidity and parity have any relationships with the electrodiagnostic parameters of carpal tunnel syndrome (CTS).

Objective: To determine whether there is a relationship between electrodiagnostic findings, gravidity, and parity number in CTS.

Materials and Methods: Female patients over 18 years of age with CTS were included in this retrospective cohort study. The gravidity/parity number, median nerve compound muscle action potential (CMAP), and compound nerve action potential (CNAP) of the patients were analyzed. The two subgroups of the Boston carpal tunnel syndrome questionnaire (BCTSQ): The Symptom Severity Scale (SSS) and Functional Severity Scale (FSS) were applied to the patients. CTS patients were divided into two groups aged at first pregnancy ≤20 years and >20 years.

Results: One hundred and eight CTS extremities (seven right-sided CTS, three left-sided CTS, 49 bilateral CTS) of 59 patients were included. The median (interquartile range: 25%-75%) number of gravidity, parity, and abortion were 3 (2-5), 3 (2-4), and 0 (0-0), respectively. Right-sided CTS patients at the age of first pregnancy ≤20 years had higher BCTSQ-SSS/FSS scores and median nerve CMAP latency compared to patients at the age of first pregnancy >20 years (P = 0.029 for SSS; P = 0.042 for FSS; and P = 0.041 for CMAP latency). A negative correlation was found between the gravidity/parity numbers and median nerve CNAP/CMAP amplitudes (P = 0.028/0.031, r = -0.293/-0.289 for CNAP amplitude; and P = 0.006/0.035, r = -0.363/-0.283 for CMAP amplitude).

Conclusion: Neurophysiological findings worsen as the number of gravidity and parity increase. Electrodiagnostic and clinical features of CTS may be worsening in females below 20 years at first pregnancy.

Titel:	Relationship between Gravidity, Parity, and Neurophysiological Features in Carpal Tunnel Syndrome (CTS) Patients with a History of Pregnancy.
Autor/in / Beteiligte Person:	Buturak, Ş ; Fidancı, H ; Yıldız, M ; Arlıer, Z
Zeitschrift:	Nigerian journal of clinical practice, Jg. 27 (2024-03-01), Heft 3, S. 345-351
Veröffentlichung:	Mumbai : Medknow Publications ; <i>Original Publication</i>: [Lagos?] : Medical and Dental Consultants' Association of Nigeria, 2024
Medientyp:	academicJournal
ISSN:	1119-3077 (print)
DOI:	10.4103/njcp.njcp_461_22
Schlagwort:	Humans Female Pregnancy Adolescent Adult Aged Young Adult Retrospective Studies Gravidity Median Nerve Severity of Illness Index Carpal Tunnel Syndrome diagnosis
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Niger J Clin Pract] 2024 Mar 01; Vol. 27 (3), pp. 345-351. <i>Date of Electronic Publication: </i>2024 Mar 26. MeSH Terms: Carpal Tunnel Syndrome* / diagnosis ; Humans ; Female ; Pregnancy ; Adolescent ; Adult ; Aged ; Young Adult ; Retrospective Studies ; Gravidity ; Median Nerve ; Severity of Illness Index References: Doughty CT, Bowley MP. Entrapment neuropathies of the upper extremity. Med Clin North Am 2019;103:357–70. ; Werner RA, Andary M. Electrodiagnostic evaluation of carpal tunnel syndrome. Muscle Nerve 2011;44:597–607. ; Padua L, Coraci D, Erra C, Pazzaglia C, Paolasso I, Loreti C, et al. Carpal tunnel syndrome: Clinical features, diagnosis, and management. Lancet Neurol 2016;15:1273–84. ; Patel K, Horak HA. Electrodiagnosis of common mononeuropathies: Median, ulnar, and fibular (Peroneal) neuropathies. 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Relationship between Gravidity, Parity, and Neurophysiological Features in Carpal Tunnel Syndrome (CTS) Patients with a History of Pregnancy.