Electrophysiological comparison between males and females in HNPP

Neurological Sciences - Tập 34 - Trang 1429-1432 - 2012
Fiore Manganelli1, Chiara Pisciotta1, Raffaele Dubbioso1, Valerio Maruotti2, Rosa Iodice1, Francesca Notturno2, Lucia Ruggiero1, Carmine Vitale3,4, Maria Nolano5, Antonino Uncini2, Lucio Santoro1
1Department of Neurological Sciences, University Federico II of Naples, Naples, Italy
2Department of Neuroscience and Imaging, University “G. d’Annunzio”, Chieti-Pescara, Italy
3University of Naples “Parthenope”, Naples, Italy
4Hermitage Capodimonte IDC, Naples, Italy
5Department of Neurology, “S. Maugeri” Foundation I.R.C.C.S, Telese Terme, Italy

Tóm tắt

Some evidences highlighted a higher clinical expression of hereditary neuropathy with liability to pressure palsy (HNPP) in males, and a higher load of traumatic nerve injuries due to different occupational activity has been invoked to explain this observation. It is unknown whether this increased clinical impairment corresponds to a greater electrophysiological involvement. Thus, we compared clinical and electrophysiological features between men and women in a large cohort of HNPP patients. Nerve palsies and electrophysiological abnormalities were more frequent in men, and electrophysiological findings which differentiated males from females did not show any age-related worsening. In conclusion, our findings showed a higher clinical and electrophysiological involvement in males which does not seem related to different cumulative nerve damage over time. We believe that the higher disease expression may increase the chance to detect the disease in males and, thereby, to underestimate the HNPP diagnosis in females.

Tài liệu tham khảo

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