Ahmet BAKIR, Ali Rıza SONKAYAA, Cengiz KAPLAN, MEHMET GÜNEY ŞENOL, Mehmet Fatih ÖZDAĞ

Safen, Yüzeyel Peroneal, Medial Plantar ve Medial Dorsal Kutanöz Sinir İletimi Çalışmasının Diyabetik Polinöropati Tanısındaki Katkısı

Amaç: Bu çalışmada diyabetik hastalarda safen, süperfisiyal peroneal, medial plantar ve medial dorsal kutanöz sinir iletimi incelemelerinin; diyabetik nöropati ile ilişkisi ve polinöropatinin erken tanısında bu incelemelerin yeri olup/olmadığının araştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmaya GATA Haydarpaşa Eğitim Hastanesi nöroloji ve iç hastalıkları polikliniklerine başvuran DM tanısı almış olan 52 hasta ve sistemik hastalığı olmayan 30 gönüllü alınmıştır. Tüm olgulara rutin sinir iletim incelemesine ek olarak safen, yüzeyel peroneal, medial plantar ve medial dorsal kutanöz sinir iletimi incelemeleri yapılmış ve elde edilen sonuçlar istatistiksel analizlerle değerlendirilmiştir. Bulgular: : Elde edilen veriler değerlendirildiğinde tüm bu incelemelerin diyabetik hasta grubunda; polinöropati, hastalık süresi ve NSS (Nöropati Semptom Skorlaması) ile korele olduğu görülmüştür. Sonuç: Klinik olarak polinöropati düşünülen diyabetik hastalar, elektrofizyolojik olarak değerlendirilirken; özellikle sural sinir iletim inceleme değerleri normal olsa bile, rutin incelemelere safen, yüzeyel peroneal, medial plantar ve medial dorsal kutanöz sinir iletimi eklenmelidir

The Contribution of Saphenous, Superficial Peroneal, Medial Plantar and Medial Dorsal Cutaneous Nerve Conduction Studies in Diagnosis of Diabetic Neuropathy

Aim: The aim of this study was to investigate the relation of the examination of saphenous, superficial peroneal, medial plantar and medial dorsal cutaneous nerve conduction with Diabetic Neuropathy and whether this examination may play a role in the early diagnosis of polyneuropathy or not. Material and Method: The population included 52 patients with diabetes mellitus, attended the department of neurology, and internal medicine clinics at GATA Haydarpaşa Training Hospital and 30 volunteers with no systemic disease. In addition to the routine nerve conduction study; saphenous, superficial peroneal, medial plantar and medial dorsal cutaneous nerve conduction studies were performed to all groups. Results: When the obtained data were evaluated, polyneuropathy, disease duration, and NSS (Neuropathy Symptom Scoring) in diabetic patients were found to be correlated with our results. Conclusion: By the electrophysiological evaluation of the diabetic patients with a clinical suspect of polyneuropathy even with sural nerve conduction study results within normal values, saphenous, superficial peroneal medial plantar and medial dorsal cutaneous nerve conduction should be added to the routine examination

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