Omurilik Yaralanmalarında Üst Ekstremite Tuzak Nöropatileri

Makalenin İngilizce İsmi: 
Upper extremity entrapment neuropathies in patients with spinal cord injury
Makale İçerik Bilgileri
Makale Dili: 
Türkçe
Anahtar Kelimeler: 
Omurilik yaralanmaları
tuzak nöropatileri
elektrofizyoloji
karpal tünel sendromu
Key Words: 
Spinal cord injury
entrapment neuropathies
electrophysiology
carpal tunnel syndrome
İngilizce Özet: 

Upper extremity entrapment neuropathies are more common in patients with spinal cord injury. The purpose of this study
is to determine the presence and the prevalence of upper extremity entrapment neuropathies in patients with spinal cord injury.
31 patients (22 male, 9 female), who have spinal cord injury for more than 4 months, between the ages of 11 and 56 years (mean
32.8 ± 11.1) were enrolled. The patients were evaluated in regards to demographic, clinical and electrophysiological data.
The parameters in patients with entrapment neuropathies were compared with the patients without entrapment neuropathy. Out
of 31 patients studied, 9 had electrophysiologically Carpal Tunnel Syndrome (29 %). Disease duration was significantly longer
in CTS patients (p=0.045). 5 patients showed median and 5 showed ulnar nerve pathology. Median nerve pathologies were Carpal
Tunnel Syndrome in all patients. 3 had right (one in moderate sensorial fibers, one had severe sensorial and moderate motor
nerve, last had moderate motor and sensorial nerve fiber pathologies), 1 had left (with severe motor and sensorial nerve fiber involvement)
and 1 had bilateral (severe motor and sensorial nerve fibers involvement in right and moderate involvement in left side)
Carpal Tunnel Syndrome findings. Among patients with ulnar nerve neuropathy, 2 had right (Type IV), 1 had left (Type IV) and
2 had bilateral pathologies. It is our belief that the high prevalence of Carpal Tunnel Syndrome in patients with spinal cord injury
is the result of excessive use of their hands. This study documents the prevalence of entrapment neuropathies and emphasizes
the need for early and periodic electrophysiological evaluations for prevention and early treatment for these syndromes.

Yazar Bilgileri
1. Yazar
Yazar Adı: 
Nurten UZUN
Yazar Ünvanı: 
Doktor
Yazar Üniversitesi: 
İstanbul Üniversitesi
Yazar Fakültesi: 
Cerrahpaşa Tıp Fakültesi
Yazar Anabilim Dalı: 
Nöroloji
Yazar E-posta: 
deryaulu@yahoo.com
2. Yazar
Yazar Adı: 
Derya ULUDÜZ
Yazar Ünvanı: 
Doktor
Yazar Üniversitesi: 
İstanbul Üniversitesi
Yazar Fakültesi: 
Cerrahpaşa Tıp Fakültesi
Yazar Anabilim Dalı: 
Nöroloji
Yazar E-posta: 
deryaulu@yahoo.com
3. Yazar
Yazar Adı: 
Azar RAHİMPANAH
Yazar Üniversitesi: 
İstanbul Üniversitesi
Yazar Fakültesi: 
Cerrahpaşa Tıp Fakültesi
Yazar Anabilim Dalı: 
Fiziksel Tıp ve Rehabilitasyon
4. Yazar
Yazar Adı: 
Şafak Sahir KARAMEHMETOĞLU
Yazar Üniversitesi: 
İstanbul Üniversitesi
Yazar Fakültesi: 
Cerrahpaşa Tıp Fakültesi
Yazar Anabilim Dalı: 
Fiziksel Tıp ve Rehabilitasyon
Makale Künye Bilgisi
Makalenin Yayımlandığı Dergi: 
Cerrahpaşa Tıp Dergisi
Makale Yayın Yılı: 
2007
Cilt/Sayı: 
38
Sayı: 
3
Sayfa Aralığı: 
81 - 84
PDF Dosyası: 
application/pdf iconarastirmax_1007_pp_81-84.pdf
Makalenin Yayınlandığı Web Sitesindeki Linki: 
Makaleyi Dergi Web Sitesinden İndirin
Referanslar: 

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Cerrahpafla Tıp Derg 2007; 38: 81 - 84
Tablo 1. Omurilik yaralanmalı hastalarımızın tuzak nöropatisi varlığına
göre özellikleri.
Yaş (yıl)
Hastalık süresi (ay)
Lezyon tipi Kısmi
Tam
Cihaz kullanımı Var
Yok
Cinsiyet Kadın
Erkek
32.40 ± 11.46
19.38 ± 17.51
7 (% 31.8)
15 (% 68.2)
-
-
2 (% 22.2)
7 (% 77.8)
33.77 ± 11.13
74.00 ± 12.4
2 (% 22)
7 (% 78)
5 (% 55.5)
13 (% 59)
7 (% 31.8)
15 (% 68.2)
0.965
0.045
0.986
0.732
0.593
Tuzak nöropati (-) Tuzak nöropati (+) p
N. UZUN ve Ark.
84
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