Peroneal neuropathy after weight loss

Journal of the Peripheral Nervous System - Tập 5 Số 2 - Trang 101-105 - 2000
A Cruz-Martínez1, Javier Arpa1, Francesc Palau1
1Unidad de Electromiografía, Hospital La Luz 1,Servicio de Neurología, Hospital La Paz 2, Madrid, and Unidad de Genética,Hospital La Fé 3, Valencia, Spain

Tóm tắt

Abstract  The objectives of this study were to evaluate the clinical and electrophysiological findings in peroneal mononeuropathies following a weight‐reduction diet. Thirty patients with acute peroneal palsy and weight loss were studied. Complete nerve conduction studies (NCS) were performed in upper and lower limbs. NCS showed conduction block (CB) of the peroneal nerve at the fibular head that recovered in 29 patients within 3 weeks to 3 months. Severity of CB was correlated with clinical weakness. Three patients had abnormalities consistent with polyneuropathy (PNP). NCS in asymptomatic relatives confirmed familial neuropathy. Nerve biopsy and molecular study were consistent with hereditary neuropathy with liability to pressure palsies (HNPP). One of these peroneal palsies (6 months) recovered after neurolysis. Weight loss might be a risk factor in peroneal mononeuropathies. NCS is a tool in the diagnosis of the site and severity of the nerve injury. Testing should be considered for relatives of patients with PNP because peroneal mononeuropathies may be the first expression of HNPP.

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Thông tin xuất bản

Journal of the Peripheral Nervous System

Tập 5 Số 2

101-105

Thông tin tác giả