فهرست مطالب elaheh shirdel

Neuropathy is a common complication of diabetes mellitus. Meticulous neurological examination and electrodiagnosis are valuable tools in early diagnosis of neuropathy and prevention of its sequels. A hundred and three randomly selected diabetic patients were recruited from the endocrine clinic. Mean age of patients was 52.6 ±14 years. 29.4% had type 1 and 70.6% had type 2 diabetes.Medical history was taken from patients and neurological examination was done. Electroneurographic examination included nerve conduction velocity, action potential amplitude, distal latency and H reflex measurements. Neuropathy was found in 79.4% of patients. The prevalence of neuropathy had a direct relation with duration of the disease. The most common complaints were tingling and numbness of extremities (72%) and burning sensation of the feet (36%). The most common physical findings were abnormal ankle jerk (92%), and decreased vibration perception (76%) in feet. Abnormal H reflex(92.5%) and decreased amplitude of action potentials (79%) were the most common electroneurographic findings. There was a strong correlation between clinical and electroneurographic findings. Neuropathy was quite common in diabetic patients. Neurologic examination is, therefore, recommended to prevent unnecessary workups and prevent complications.

Neuropathy is a common complication of diabetes mellitus. Careful neurological examination and electro diagnosis are valuable in early diagnosis of neuropathy and prevention of its sequels.
103 randomly selected diabetic patients referred from the endocrine clinic were evaluated. Mean age of patients was 52.6 ±14 years. 29.4% had type 1 and 70.6% had type 2 diabetes. History was taken for each patient and neurological examination was carried out. Electroneurographic examination included nerve conduction velocity, action potential amplitude, distal latency and H reflex measurements.
79.4% of patients had neuropathy. The prevalence of neuropathy had a direct relation with duration of the disease. The most common complaints were tingling and numbness of extremities (72%) and burning sensation of the feet (36%). The most common physical findings were abnormal ankle jerk (92%), and decreased vibration perception (76%) in feet. Abnormal H reflex (92.5%) and decreased amplitude of action potentials (79%) were the most common electroneurographic findings. There was a good correlation between clinical and electroneurographic findings.
Neuropathy is very common among our diabetic patients. Thus neurological examination is recommended to prevent unnecessary work ups and to help preventing untoward complications.