Neurology Department, Ministry of Health Ankara Cıty Hospital, Turkey.
Kırıkkale University, Medical Faculty Hospital, Neurology Department, Turkey.
J Clin Neurosci. 2020 Apr;74:93-97. doi: 10.1016/j.jocn.2020.01.058. Epub 2020 Feb 3.
The purpose of this study was to investigate with Elektromioneurografija (EMNG) whether there is any affection on peripheral nerves in (RRMS) patients.
Motor and sensory nerve conductions were studied in the control group including 33 RRMS patients and 25 healthy individuals. Expanded Disability Status Scale (EDSS) scores, mean annual attack frequency, duration of disease and treatments of RRMS patients were recorded.
There was a statistically significant (p < 0.05) elongation in motor distal latency of the right peroneal nerve, slowing in the left peroneal nerve conduction velocity, and an elongation in the F-wave response in the RRMS group compared to the control group. It was observed that motor nerve conduction velocities were slower, albeit not statistically significant, and F wave latencies were longer than control group.
There are studies in the literature related to the association between MS and peripheral neuropathy. In this study, we found demyelinating type changes, differing significantly from the control group, in motor nerve conductions in RRMS patients. There may be demyelinating type affection in peripheral nervous system with common autoimmune mechanism in MS, a demyelinating disease of the central nervous system.
本研究旨在通过 Elektromioneurografija(EMNG)检查,探讨(RRMS)患者外周神经是否受到影响。
对包括 33 名 RRMS 患者和 25 名健康个体在内的对照组进行运动和感觉神经传导研究。记录 RRMS 患者的扩展残疾状态量表(EDSS)评分、平均年发病频率、疾病持续时间和治疗情况。
与对照组相比,RRMS 组右侧腓总神经运动末端潜伏期明显延长(p<0.05),左侧腓总神经传导速度减慢,F 波反应延长。运动神经传导速度较慢,虽然无统计学意义,但 F 波潜伏期较对照组长。
文献中有研究表明 MS 与周围神经病变之间存在关联。在这项研究中,我们发现 RRMS 患者运动神经传导中存在脱髓鞘类型的变化,与对照组有显著差异。MS 是一种中枢神经系统脱髓鞘疾病,可能存在与常见自身免疫机制相关的周围神经系统脱髓鞘类型病变。