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Journals / Bezmiâlem Science / 2021 / Cilt: 9 - Sayı: 4

Electrodiagnostic Features of Peroneal Neuropathy Associated with Weight Loss and Leg Posture

Kilo Kaybı ve Bacak Postürü ile İlişkili Peroneal Nöropatinin Elektrodiagnostik Özellikleri

Halit FİDANCI
İlker ÖZTÜRK
Pages
450–456
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

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

PNFH associated with weight loss may not only depend on leg posture; factors such as metabolic changes may also play a role in its pathophysiology.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Weight loss and leg postures are common conditions associated with peroneal neuropathy at the fibular head (PNFH).
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Key Findings & Data:Although these three groups had similar electrodiagnostic characteristics, the degree of motor conduction block obtained by recording from the tibialis anterior muscle was higher in patients with PNFH associated only with leg postures than in patients of other groups (p=0.017).
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Conclusion & Impact:PNFH associated with weight loss may not only depend on leg posture; factors such as metabolic changes may also play a role in its pathophysiology.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Weight loss and leg postures are common conditions associated with peroneal neuropathy at the fibular head (PNFH). This study aimed to find the electrodiagnostic features of PNFH associated with weight loss and those of PNFH associated with leg postures such as crossing legs or squatting. Methods: Patients with clinical and electrodiagnostic characteristics that were compatible with PNFH associated with weight loss and leg postures were included in this retrospective cohort study. The patients were divided into three groups: Patients with PNFH associated only with leg postures, patients with PNFH associated only with weight loss, and patients with PNFH associated with both leg postures and weight loss. Results: Twelve patients with PNFH related to leg postures, five patients with PNFH related to weight loss, and four patients with PNFH related to both leg postures and weight loss were included in the study. Although these three groups had similar electrodiagnostic characteristics, the degree of motor conduction block obtained by recording from the tibialis anterior muscle was higher in patients with PNFH associated only with leg postures than in patients of other groups (p=0.017). Conclusion: The electrodiagnostic features of PNFH associated with weight loss and leg postures are generally similar. PNFH associated with weight loss may not only depend on leg posture; factors such as metabolic changes may also play a role in its pathophysiology.

Özet

Amaç: Kilo kaybı ve bacak postürleri, fibula başında peroneal nöropati (FBPN) ile ilişkili sık görülen durumlardır. Bu çalışmanın amacı kilo kaybı ve bacak bacak üstüne atma veya çömelme gibi bacak postürleri ile ilişkili FBPN’nin elektrodiagnostik özelliklerinin bulunmasıdır. Yöntemler: Klinik ve elektrodiagnostik özellikleri kilo kaybı ve bacak postürleri ile ilişkili FBPN ile uyumlu olan hastalar bu retrospektif kohort çalışmasına dahil edildi. Hastalar üç gruba ayrıldı: Sadece bacak postürleri ile ilişkili FBPN hastaları, sadece kilo kaybı ile ilişkili FBPN hastaları, hem bacak postürleri hem de kilo kaybı ile ilişkili FBPN hastaları. Bulgular: Bacak postürleri ile ilişkili 12 FBPN hastası, kilo kaybı ile ilişkili beş FBPN hastası ve hem bacak postürleri hem de kilo kaybı ile ilişkili dört FBPN hastası çalışmaya dahil edildi. Bu üç grup benzer elektrodiagnostik özelliklere sahip olmasına rağmen, tibialis anterior kasından kayıt yapılarak elde edilen motor iletim bloğunun şiddeti sadece bacak postürleri ile ilişkili FBPN hastalarında diğer gruplara göre daha yüksekti (p=0,017). Sonuç: Kilo kaybı ve bacak postürleri ile ilişkili FBPN’nin elektrodiagnostik özellikleri genellikle benzerdir. Kilo kaybı ile ilişkili FBPN sadece bacak postürüne bağlı olmayabilir, aynı zamanda metabolik değişiklikler gibi faktörler de patofizyolojisinde rol oynayabilir.

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Cite This Article

FİDANCI, H., ÖZTÜRK, İ. (2022). Electrodiagnostic Features of Peroneal Neuropathy Associated with Weight Loss and Leg Posture. Bezmiâlem Science, Cilt: 9 - Sayı: 4, 450–456. https://ajindex.com/articles/463952

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References (18)

  1. Katirji MB, Wilbourn AJ. Common peroneal mononeuropathy: a clinical and electrophysiologic study of 116 lesions. Neurology 1988;38:1723-8
  2. Masakado Y, Kawakami M, Suzuki K, Abe L, Ota T, Kimura A. Clinical neurophysiology in the diagnosis of peroneal nerve palsy. Keio J Med 2008;57:84-9
  3. Baima J, Krivickas L. Evaluation and treatment of peroneal neuropathy. Curr Rev Musculoskelet Med 2008;1:147-53
  4. Smith T, Trojaborg W. Clinical and electrophysiological recovery from peroneal palsy. Acta Neurol Scand 1986;74:328-35
  5. Sprofkin BE. Peroneal paralysis; a hazard of weight reduction. AMA Arch Intern Med 1958;102:82-7
  6. Sotaniemi KA. Slimmer’s paralysis--peroneal neuropathy during weight reduction. J Neurol Neurosurg Psychiatry 1984;47:564-6
  7. Elias WJ, Pouratian N, Oskouian RJ, Schirmer B, Burns T. Peroneal neuropathy following successful bariatric surgery. Case report and review of the literature. J Neurosurg 2006;105:631-5
  8. Cruz Martínez A. Slimmer’s paralysis: electrophysiological evidence of compressive lesion. Eur Neurol 1987;26:189-92
  9. Marwah V. Compression of the lateral popliteal (common peroneal) nerve. Lancet 1964;2:1367-9
  10. Nagler SH, Rangell L. Peroneal palsy caused by crossing the legs. J Am Med Assoc 1947;133:755-61
  11. Watemberg N, Amsel S, Sadeh M, Lerman-Sagie T. Common peroneal neuropathy due to surfing. J Child Neurol 2000;15:420-1
  12. Kleyweg RP, van der Meché FG, Schmitz PI. Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain-Barré syndrome. Muscle Nerve 1991;14:1103-9
  13. Yucel A, Senocak M, Kocasoy Orhan E, Cimen A, Ertas M. Results of the Leeds assessment of neuropathic symptoms and signs pain scale in Turkey: a validation study. J Pain 2004;5:427-32
  14. Chen S, Andary M, Buschbacher R, Del Toro D, Smith B, So Y, Zimmermann K, Dillingham TR. Electrodiagnostic reference values for upper and lower limb nerve conduction studies in adult populations. Muscle Nerve 2016;54:371-7
  15. Oh S. Clinical Electromyography: Nerve Conduction Studies. 3rd ed. Philadelphia: Lippincott Williams Wilkins; 2003
  16. Buschbacher RM. Reference values for peroneal nerve motor conduction to the tibialis anterior and for peroneal vs. tibial latencies. Am J Phys Med Rehabil 2003;82:296-301
  17. Lawlor T, Wells DG. Metabolic hazards of fasting. Am J Clin Nutr 1969;22:1142-9
  18. Verdy M. Fasting in obese females. I. A study of thyroid function tests, serum proteins and electrolytes. Can Me