de Aquino Neves Eduardo Luis, Nunes Paula Santos
Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100 Aracaju, SE, Brazil.
eNeurologicalSci. 2018 Aug 21;12:31-33. doi: 10.1016/j.ensci.2018.08.004. eCollection 2018 Sep.
Report a case series study of individuals who, after having a suspected arboviral disease during an epidemic outbreak in north-eastern Brazil, presented symptoms of acroparesthesia.
A retrospective evaluation of patients with acroparesthesia undertaken between December 2015 and October 2016 following a clinical picture suggestive of an arboviral infection.
Clinical and electrophysiological data were obtained from 29 individuals. 13% were male. All presented a main complaint of numbness in the hands, with 86% presenting bilateral symptoms. The symptoms started within 60 days of the clinical picture in 62% of cases. The electrophysiological study demonstrated CTS in 54 median nerves. It was classified as mild in 24.1% of cases, moderate in 32.7%, severe in 24.1%, very severe in 6.8% and extremely severe in 5.1%.
The best explanation for the presence of acroparesthesia following an arboviral infection may be the narrowing of the carpal tunnel caused by the inflammatory joint process usually observed in cases of chikungunya infection.
This is the first study with electrophysiological data that associates arboviral infection with CTS.
报告一系列病例研究，这些个体在巴西东北部疫情爆发期间出现疑似虫媒病毒疾病后，出现了肢端感觉异常症状。
对2015年12月至2016年10月期间出现提示虫媒病毒感染临床表现后出现肢端感觉异常的患者进行回顾性评估。
获取了29名个体的临床和电生理数据。13%为男性。所有患者的主要主诉均为手部麻木，86%表现为双侧症状。62%的病例症状在临床表现出现后的60天内开始。电生理研究显示54条正中神经存在腕管综合征。其中24.1%的病例为轻度，32.7%为中度，24.1%为重度，6.8%为极重度，5.1%为极其重度。
虫媒病毒感染后出现肢端感觉异常的最佳解释可能是在基孔肯雅热感染病例中通常观察到的炎症性关节过程导致腕管狭窄。
这是第一项将虫媒病毒感染与腕管综合征相关联的有电生理数据的研究。
