新诊断甲状腺功能减退的女性周围神经传导和视觉诱发电位的评价。

A. Sankareswari, Shreen L Affiya, T. Vigil, S. Naveen, M. Chandrasekhar
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引用次数: 4

摘要

背景:甲状腺功能减退是普通人群的常见疾病。甲状腺功能减退通常累及中枢和周围神经。神经系统表现与疾病的全身特征同时发生,可能只是偶然注意到。周围神经病变可以通过感觉运动神经传导研究来评估,这是一种非侵入性的方法。视觉诱发电位(VEPs)是在视觉刺激下从头皮记录的电位差。目的:探讨新诊断甲状腺功能减退的女性正中神经运动、感觉神经传导及视觉诱发电位的变化。材料与方法:样本量为30。本研究设计为横断面研究。使用Meenakshi医学院、医院和研究所生理学系NEUROSTIM NS2机器测量正中神经和VEP的感觉运动神经传导。统计分析采用SPSS软件17版学生不配对t检验。结果:与对照组相比,两组患者的运动神经和感觉神经传导均有显著差异。与对照组相比,研究组VEP潜伏期p100波延长有统计学意义。结论:甲减患者外周血及中枢神经系统均受影响。综上所述,电生理研究可用于甲状腺功能减退患者无症状多神经病变的诊断。
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Evaluation of peripheral nerve conduction and visual evoked potential in newly diagnosed hypothyroid females.
Background: Hypothyroidism is a common medical condition in the general population. Usually hypothyroidism has both central and peripheral nerve involvement. The neurologic manifestations occur in conjunction with the systemic features of the disease and may be noted only incidentally. The peripheral neuropathy can be assessed using the sensory motor nerve conduction studies, which is a non-invasive method. Visual Evoked Potentials (VEPs) are electrical potential differences recorded from the scalp in response to visual stimuli. Aim: To study the motor and sensory nerve conduction in the Median nerve and Visual Evoked Potential in the newly diagnosed hypothyroid females. Materials and methods: The sample size is 30. The study design is a cross sectional study. Sensorimotor nerve conduction of the Median nerve and the VEP was done using NEUROSTIM NS2 machine, in the department of Physiology, Meenakshi Medical College, Hospital and Research Institute. The statistical analysis was done by Student unpaired t' test using SPSS software 17 version. Result: There was a significant in the nerve conduction of both motor and sensory components of the cases when compared to the controls. There was statistically significant prolongation of latency P 100 wave of VEP in the study group compared to the control group. Conclusion: Both peripheral and central nervous system are affected in hypothyroidism. To conclude, electrophysiological studies can be useful in the diagnosis of asymptomatic poly neuropathy in hypothyroid patients.
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