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ISSN 2520-9078 (Electronic)

2021, Number 3

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Revista de Ciencias Médicas de la Habana 2021; 28 (3)

Clinical and electroneuromyographic characterization of patients with carpal tunnel syndrome

Cabrera GJ, Roche GER

Language: Spanish
References: 14
Page: 366-379
PDF size: 743.67 Kb.


ABSTRACT

Introduction: Carpal tunnel syndrome, is a compressive neuropathy of the medium nerve caused by an increasing of pressure on the carpal tunnel that provides its lesion and dysfunction. It presents sensitive motor and trophic manifestations that affect life.
Objective: To characterize patients with diagnosis of carpal tunnel syndrome electroneuromyographic and clinically.
Methods: A descriptive cross-sectional was carried out. The population was formed by 75 patients assisted at the Medical Physiology consultation, at ¨Leopoldito Martínez¨ General Teaching Hospital, from December, 2017 to March, 2019. Socio-myographic, clinical and neurophysiological variables were studied.
Results: Carpal tunnel syndrome, was presented in the 80 % of women and the average age was 52.16. The comorbidities which prevailed were hypertension in the 53.3 % and diabetes mellitus in the 20 %. The most frequent symptom was nocturnal paresthesia in the 64 % and Tinnel sign in the 56 %. Grade 4 prevailed, in the 48 % of right hands and the 42.6 % of left hands.
Conclusions: Carpal tunnel syndrome prevailed, in female patients, in the fifth decade of life. Hypertension and diabetes mellitus are the most common co-morbidities. Absence of sensitive action potentials and extension of motor distal latencies, determine the neurophysiologic diagnosis. Patients go to the service, with a high degree of nervous involvement.


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