Decreased Prevalence of Peripheral Nerve Pathology by Electrodiagnostic Testing in Gulf War Veterans

Joseph, Thomas K.; Foster, Lisa; Pasquina, Paul F.

doi:10.7205/milmed.169.11.868

Cited by 1 publication

(2 citation statements)

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“…Three studies focused on neurophysiology testing, which did not include neurological examinations (Peckerman et al 2000(Peckerman et al , 2003Joseph et al 2004;Stein et al 2004).…”

Section: Overview Of the Studies Relevant To Neurological Functionmentioning

confidence: 99%

“…Fifty-six GWVs who had neuromuscular symptoms were referred to the physical medicine and rehabilitation electrodiagnostic laboratory at Walter Reed Army Medical Center ( Joseph et al 2004). The most frequent symptoms were numbness in the upper or lower extremity, lower back pain, lower extremity pain and neck pain.…”

Section: (B) Specific Neurological Investigations (I) Neurophysiologymentioning

confidence: 99%

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Neurological disorders in Gulf War veterans

Rose

Brix²

2006

Phil. Trans. R. Soc. B

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We present a review of neurological function in Gulf War veterans (GWV). Twenty-two studies were reviewed, including large hospitalization and registry studies, large population-based epidemiological studies, investigations of a single military unit, small uncontrolled studies of ill veterans and small controlled studies of veterans. In nearly all studies, neurological function was normal in most GWVs, except for a small proportion who were diagnosed with compression neuropathies (carpal tunnel syndrome or ulnar neuropathy). In the great majority of controlled studies, there were no differences in the rates of neurological abnormalities in GWVs and controls. In a national US study, the incidence of amyotrophic lateral sclerosis (ALS) seems to be significantly increased in GWVs, compared to the rate in controls. However, it is possible that military service, in general, might be associated with an increased risk of ALS, rather than Gulf War service in particular. Taken together, the conclusion is that if a neurological examination in a GWV is within normal limits, then extensive neurological testing is unlikely to diagnose occult neurological disorders.

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“…Three studies focused on neurophysiology testing, which did not include neurological examinations (Peckerman et al 2000(Peckerman et al , 2003Joseph et al 2004;Stein et al 2004).…”

Section: Overview Of the Studies Relevant To Neurological Functionmentioning

confidence: 99%

Section: (B) Specific Neurological Investigations (I) Neurophysiologymentioning

confidence: 99%