Polineuropatia urêmica: estudo do limiar de percepção vibratória em 19 pacientes

Abstract

A vibratory perception threshold study was done in 19 patients with uremic polyneuropathy, using a palesthesiometer. Three patients were maintained in conservative treatment (controls), 7 patients maintained with hemodialysis and 9 patients with peritoneal dialysis, during a period of 4 to 72 months. Abnormal vibratory perception threshold was found in 94.73% when the first toe was studied, 36.84% with the fifth finger and 52.63% with the second finger. The statistical analysis between the hemodialysis, peritoneal dialysis and control group was non significant. It was not found any correlation between the severity and duration of neuropathy with the low perception threshold. The authors conclude that this is a simple method, easy to be done and very useful in the quantification of the vibratory perception threshold in the uremic patient, but lack specificity regarding severity of the illness.

Investigação de neuropatia periférica durante o período recente do transplante de medula óssea

“…As áreas selecionadas para a medida do LPV foram a porção dorsal da primeira falange dos 2º e 5º quirodáctilos direitos e o dorso do 1º e 5º pododáctilos direitos. Os valores foram calculados pela média aritmética de 10 testes 17,18 . Tanto o estudo da VCN quanto o LPV foram realizados nos períodos admissional imediato e pós-transplante, na ocasião da alta hospitalar (média de 35.41 dias -mínimo de 22 e máximo de 90 dias).…”