SavedAdd your journal

Journals / Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi / 2017 / Cilt: 20 - Sayı: 1

lectroneuromyographic Results of Our Scia.c Neuropathy Patients Secondary to Injec.on: A Retrospective Evaluation

Enjeksiyona Sekonder Siyatik Nöropati Hastalarımıza Ait Elektronöromiyografik Sonuçlar: Retrospektif Bir Değerlendirme

Pınar DORUK ANALAN
Pages
9–15
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It was found that four cases of them were to be under 15 years of age.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In this retrospectice study, it was aimed to evaluate the electrophysiological results of our patients who were admitted to our electroneuromyography (ENMG) laboratory with prediagnosis of sciatic nerve injury secondary to gluteal intramuscular injections.
📊
Key Findings & Data:Material and Methods: It was recorded the electrophysiological findings of 68 patients who were admitted to our ENMG laboratory between 2006 and 2015 with prediagnosis of sciatic nerve injury which developed after intramuscular injection in the gluteal region.
💡
Conclusion & Impact:It was found that four cases of them were to be under 15 years of age.
🔬Design:Research Article
📍Scope:2006 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: In this retrospectice study, it was aimed to evaluate the electrophysiological results of our patients who were admitted to our electroneuromyography (ENMG) laboratory with prediagnosis of sciatic nerve injury secondary to gluteal intramuscular injections. Material and Methods: It was recorded the electrophysiological findings of 68 patients who were admitted to our ENMG laboratory between 2006 and 2015 with prediagnosis of sciatic nerve injury which developed after intramuscular injection in the gluteal region. Results: The range age of the study population was between 6-94. It was found that four cases of them were to be under 15 years of age. It was observed motor nerve conduction velocity, amplitude and latency of the peroneal nerve more than affected to tibial nerve. Also, it was found that the sensory fibers more than affected to motor fibers. Axonal damage was observed in a significant portion of our cases. The most common affected muscle was tibialis anterior (92.6%) while the fewest affected muscle was the long head of the biceps femoris muscle (79.41%) based on the needle EMG. Only 11 cases of the study population were admitted for control ENMG, improvement was observed in 10 of these cases. Conclusion: In our study, it was determined that peroneal nerve more than affected tibial nerve. Additionally, it was found sensory fibers more than damaged to motor fibers. Improvement was observed in a greater number of patients which were evaluated with control ENMG.

Özet

Amaç: Bu retrospektif çalışmada, elektronöromiyografi (ENMG) laboratuvarımıza gluteal intramusküler enjeksiyona sekonder siyatik sinir lezyonu ön tanısı ile başvuran hastaların elektrofizyolojik sonuçlarının incelenmesi amaçlanmıştır. Gereç ve Yöntemler: ENMG laboratuvarımıza 2006-2015 yılları arasında gluteal bölgeye intramusküler enjeksiyon sonrası gelişen siyatik sinir hasarı ön tanısı ile başvuran 68 hastanın elektrofizyolojik bulguları kaydedildi. Bulgular: Çalışma popülasyonunun yaş aralığı 6-94 yıl arasında idi. Hastalardan 4 tanesinin 15 yaş altı olduğu saptandı. Peroneal dalın tibial sinire göre daha fazla etkilendiği gözlendi. Ayrıca duyu liflerinin motor liflere göre daha fazla etkilendiği bulundu. Hastalarımızın önemli bir kısmında aksonal etkilenme gözlendi. İğne elektromiyografi sonuçlarına göre en çok etkilenen kas tibialis anterior (%92,6) iken, en az etkilenen kas biseps femoris kasının uzun başı (%79,41) idi. Hastalardan sadece 11’i kontrol ENMG için başvurmuş, bunların 10’unda düzelme saptanmıştı. Sonuç: Çalışmamızda peroneal sinirin tibial sinire göre daha çok etkilendiği saptanmıştır. Ek olarak duyu liflerinin motor liflere göre daha fazla hasar gördüğü bulunmuştur. Kontrol ENMG ile değerlendirilen hastaların büyük bir bölümünde düzelme gözlenmiştir.

🔖

Cite This Article

ANALAN, P. D. (2017). lectroneuromyographic Results of Our Scia.c Neuropathy Patients Secondary to Injec.on: A Retrospective Evaluation. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, Cilt: 20 - Sayı: 1, 9–15. https://ajindex.com/articles/166008

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Kakati A, Bhat D, Devi BI, Shukla D. Injection nerve palsy. J Neurosci Rural Pract 2013;4(1):13-8.
  2. Topuz K, Kutlay M, Simşek H, Atabey C, Demircan M, Senol Güney M. Early surgical treatment protocol for sciatic nerve injury due to injection--a retrospective study. Br J Neurosurg 2011;25(4): 509-15.
  3. Preston DC, Shapiro BE. Electromyography and Neuromuscular Disorders: Clinical-electrophysiologic Correlations. 2nded. Philadelphia, Pa: Elsevier; 2005. p.685. Pazarcı NK, Örken DN, Çelik MG, Çelebi LG, Aydın F. Post-enjeksiyon siyatik nöropati: klinik ve elektrofizyolojik özellikler. Archives of Neuropsychiatry 2010;47:207-12.
  4. Antoniadis G, Kretschmer T, PedroMT, König RW, Heinen CP, Richter HP. Iatrogenic nerve injuries: prevalence, diagnosis and treatment. Dtsch Arztebl Int 2014;111(16):273-9.
  5. Villarejo FJ, Pascual AM. Injection injury of the sciatic nerve (370 cases). Childs Nerv Syst 1993;9(4): 229-32.
  6. Fatunde OJ, Familusi JB. Injection-induced sciatic nerve injury in Nigerian children. Cent Afr J Med 2001;47(2):35-8.
  7. Bilgici A, Cokluk C, Aydın K. Ultrasound neurography in the evaluation of sciatic nerve injuries. J Phys Ther Sci 2013;25(10):1209-11. Brown BA. Sciatic injection neuropathy. Calif Med 1972;116(5):13-5.
  8. Yuen EC, So YT, Olney RK. The electrophysiologic features of sciatic neuropathy in 100 patients. Muscle Nerve 1995;18(4):414- 20. Sevim S, Kaleagasi H. Sciatic injection injuries in adults: is dipyrone a foe to nerve? Acta Neurol Belg 2009;109(3):210-3.
  9. Kline DG, Kim D, Midha R, Harsh C, Tiel R. Management and results of sciatic nerve injuries: a 24-year experience. J Neurosurg 1998;89(1):13- 23. Yeremeyeva E, Kline DG, Kim DH. Iatrogenic sciatic nerve injuries at buttock and thigh levels: the Louisiana State University experience review. Neurosurgery 2009;65(4 Suppl):A63-6.