Amplitudo Sensory Neuron Action Potential Using as Installation of Polineuropati Diagnosis

Kinesya, Billi; Husna, Machlusil; Kurniawan, Shahdevi Nandar; Ridwan, Mochammad

doi:10.21776/ub.mnj.2018.004.01.2

Cited by 3 publications

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“…In this study, it was found that abnormalities in sensory nerve fibers were more numerous than in motor nerve fibers, as the results indicated by other studies. 11,16,17,21,22 The majority type of nerve damage in this study was mixed type (52.33% in the median nerve, 60.47% in the ulnar nerve, 72.10% in the tibial nerve, and 54.65% in the peroneal nerve in the motor nerve conduction study and 80.23% in the median nerve and 88.37% in the peroneal nerve in the study of sensory nerve). This was in contrast to several other studies, which shows that the nerve susceptibility of diabetes mellitus generally results as axonopathy.…”

Section: Discussionmentioning

confidence: 67%

Electroneuromyography Examination of Diabetic Polyneuropathy Patients

Nurlaela

Kurniawan

Husna

2019

MNJ

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Background: Diabetic polyneuropathy (DPN) is one of the chronic complications that occur in approximately 80% of diabetes mellitus (DM) patients. This condition is a results of metabolic, vascular, and immunological disorders. Objective: To determine the profile of electroneuromyography (ENMG) examination of DPN patients at neurology clinic of Saiful Anwar General Hospital. Methods: This cross-sectional observational descriptive study was carried out at Saiful Anwar General Hospital Malang from June 1, 2015 to December 31, 2015, with purposive sampling method. A total of 43 DM patients with symptoms of polyneuropathy fulfilling inclusion criteria and no exclusion criteria were examined for ENMG. ENMG examirnation were including distal latency, amplitude and nerve conduction velocity of 4 motoric nerves (median, ulnar, tibial, peroneal) & 3 sensory nerves (median, ulnar, sural), and F waves of ulnar, median and peroneal nerves of the left and right extremities. Results: Of the 43 patients evaluated in this study, the mean sensory sural nerve conduction velocity was 13.01 m/s. The majority type of nerve damage in diabetic polyneuropathy patients in this study were mixed type (52.33% in the median nerve, 60.47% in the ulnar nerve, 72.10% in the tibial nerve, and 54.65% in the peroneal nerve in motor nerve studies and 80.23% in the median nerve and 88.37% in the peroneal nerve in the sensory nerve studies). Conclusion: The nerve damage that occurs in DPN patients at Saiful Anwar general Hospital is severe, with the majority being the axonal demyelinating type, especially in the sensory nerve fibers in the inferior extremities.

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Section: Discussionmentioning

confidence: 67%

Electroneuromyography Examination of Diabetic Polyneuropathy Patients

Nurlaela

Kurniawan

Husna

2019

MNJ

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“…29 Abnormal EMG findings also showed correlation with polyneuropathy. 30 These findings highlight the importance of electrophysiology evaluation to diagnose the presence of any motoric involvement in herpes infection. Typical EMG findings in radiculopathy are: reduced recruitment, fibrillations, and positive sharp waves or polyphasic motor unit potentials in muscles supplied by affected root.…”

Section: Discussionmentioning

confidence: 93%

Herpes Zoster Radiculopathy in a Systemic Lupus Erythematosus Patient – A Case Report

Purbasari¹,

Kurniawan²

2018

European Neurological Review

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Background:Motor neuropathy is an extremely rare herpes complication, with a mere prevalence of 0.55%. The case of segmental zoster paresis of limbs, resulting from motor radiculopathy, is especially limited, with cervical and thoracic segments being the least frequent.Setting:Neurology outpatient clinic. CaseDescription:We report a case of a 16-year-old female who presented sudden-onset right upper extremity weakness, a week after her herpes zoster lesions first appeared. As she was diagnosed with systemic lupus erythematosus (SLE) 4 months prior, she routinely consumed steroids and azathioprine. Initial examinations revealed multiple vesicles along right C5-C6 roots dermatome accompanied by upper right extremity weakness (manual muscle test [MMT] 3) corresponding to the myotome of C5-C6 roots. An electromyography assessment uncovered results relevant to motor root neuritis in C5-C6. Magnetic resonance imaging of the cervical radix with contrast showed no abnormality. Thus, she received acyclovir, gabapentin and physiotherapy.Results:A follow-up visit after 2 weeks revealed an improvement of the weakness along C5-C6 myotome (MMT 4). A month later, all motor functions were restored with hypoesthesia and hypoalgesia sensory sequelae along C5-C6 dermatome.Conclusion:Herpes zoster radiculopathy, though rare, can occur after the onset of characteristic rash. Since cellular-mediated immunity holds crucial roles in varicella zoster virus activation, SLE and immunosuppression therapy is pertinent to this rare motoric complication of herpes. The prognosis is good. Acyclovir, gabapentin and physiotherapy treatments resulted in satisfactory recovery.

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“…8 Elektrofisiologis merupakan pemeriksaan paling sensitif, terpercaya, dan akurat untuk menilai fungsi saraf. 13,14 Studi mengenai aktivitas elektrofisiologis otot skeletal dalam kondisi istirahat dan kontraksi dengan bantuan EMG dan konduksi impuls saraf di sepanjang saraf perifer dengan Nerve Conduction Study (NCS), telah menjadi uji diagnostik yang sangat bermanfaat untuk penilaian fungsi saraf perifer dan konfirmasi neuropati pada lepra. 4,7 Pemeriksaan ini dapat memberikan penilaian ulang secara lengkap mengenai gangguan neuromuskular yang dapat menjadi informasi penting untuk mengkonfirmasi atau mengubah sebuah diagnosis klinis dan mencegah kesalahan diagnostik serius.…”

Section: Diskusiunclassified

Interpretation of Nerve Conduction Study in Polyneuropathy With Multibacillary Leprosy Type 2 Reaction

Sari¹,

Widasmara²,

Kurniawan³

2018

MNJ

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ABSTRAKReaksi lepra berkontribusi besar terhadap terjadinya kecacatan akibat kerusakan saraf perifer. Pemeriksaan nerve conduction study (NCS) memberikan gambaran fisiologis saraf perifer secara mendalam. Studi ini bertujuan untuk melaporkan kasus polineuropati pada lepra dengan reaksi tipe 2 yang dievaluasi dengan menggunakan NCS. Wanita 33 tahun mengeluh muncul benjolan nyeri pada lengan dan tungkai, demam, dan kaki bengkak sejak 2 hari yang lalu. Pasien riwayat terdiagnosis kusta. Pemeriksaan dermatologis, pada palpebra superior kanan, lengan dan tungkai kanan dan kiri didapatkan nodul eritema multipel dengan nyeri tekan; claw hand manus sinistra; dan edema kedua tungkai. Pemeriksaan slit skin smear positif. Pemeriksaan histopatologis mendukung gambaran reaksi lepra tipe 2. Kesimpulan pemeriksaan NCS, terjadi polineuropati sensorik dan motorik demyelinasi akson berat, dengan derajat lebih berat pada sisi kiri. Pasien diterapi MDT-MB, tirah baring, metilprednisolon peroral, vitamin B kompleks, parasetamol, sulfas ferosus, dan oleum olivarum topikal. Didapatkan perbaikan klinis setelah 2 minggu terapi. Pemeriksaan NCS berfungsi untuk menilai konduksi impuls saraf di sepanjang saraf perifer. Pada kasus ini, didapatkan bahwa temuan NCS menunjukkan neuropati dini pada saraf-saraf yang secara klinis belum terdeteksi. Dapat disimpulkan bahwa pemeriksaan NCS menjadi uji diagnostik penting untuk deteksi dini neuropati dan mengkonfirmasi diagnosis neuropati klinis pada lepra. Kata kunci: Nerve conduction study, reaksi lepra ABSTRACT Leprosy reaction contributes to disability due to peripheral nerve damage. Nerve conduction study (NCS) provides a profound physiological description of peripheral nerves. This study aims to report a case of polyneuropathy in leprosy with type 2 reactions (T2R) which is evaluated using NCS. A 33-year-old woman complain of painful bumps in her arms

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Amplitudo Sensory Neuron Action Potential Using as Installation of Polineuropati Diagnosis

Cited by 3 publications

References 0 publications

Electroneuromyography Examination of Diabetic Polyneuropathy Patients

Electroneuromyography Examination of Diabetic Polyneuropathy Patients

Herpes Zoster Radiculopathy in a Systemic Lupus Erythematosus Patient – A Case Report

Interpretation of Nerve Conduction Study in Polyneuropathy With Multibacillary Leprosy Type 2 Reaction

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