Parestesia e/ou dor nas mãos e/ou punhos como motivo de encaminhamento para estudo eletroneuromiográfico

Abstract

To study the reasons for referral to electrodiagnostic evaluation, 490 patients referred for electrodiagnostic evaluation to two laboratories (UNIFESP and UNEF) answered the following question: "What was the reason that brought you to look for a physician and that led him to ask this examination?" Paresthesia and/or pain were answered as the main reason by 175 of them (26% UNIFESP and 40% UNEF). The electromyographical examinations were normal in 30.8% and 35.3% and involvement of the median nerve at the wrist was detected in 5 9% and 51.5% of them. Nocturnal symptoms and paresthesia were commonly noted in both groups of patients; they, however, were not able to separate the patients with and without median nerve compression at the wrist. The question asked seems to be a useful selection instrument, to select two similar symptomatic samples of patients from two laboratories serving with very different target populations.

Tradução e validação do questionário de avaliação de gravidade dos sintomas e do estado funcional na síndrome do túnel do carpo

“…c) os EGS e os EEF não mostraram correlação com os testes de discriminação entre dois pontos (EGS: r s =0,14, p=0,399 e EEF: r s =0,14, p=0,413 ), de monofilamentos (EGS: r s = -0.04, p=0,821 e EEF: r s = -0,30, p=0,073) e com medidas de velocidade de condução sensitiva (EGS: r s = 0,149, p = 0,386 e EEF: r s = -0,081, p = 0,637) Propriedade de medidafoi avaliada comparando-se os escores pré-cirúrgicos e pós-cirúrgicos, pelo teste t pareado. Observamos diferença significante entre os escores pré e pós cirúrgicos (EGS pré / EGS pós t = 6,238 -gl 14 -p <0,0001 ) (EEF pré / EEF pós t = 3,490 gl 14 -p < 0,0036 ) DISCUSSÃO Em estudo prévio 19 , observamos que pacientes com queixas de parestesias e/ou dores nas mãos e/ ou punhos são frequentes entre os encaminhados para exame eletrofisiológico. A partir dessa constatação, resolvemos tentar definir melhor a sintomatologia desse grupo de pacientes, através da aplicação do BCTQ.…”

“…A reprodutibilidade inter e intra examinadores foi comparada pelo coeficiente Kappa. Todos os pacientes foram também submetidos à avaliação eletrofisiológica, seguindo o protocolo descrito previamente 19 .…”

Correlação entre gravidade clínica e estado funcional com achados eletroneuromiograficos, em pacientes com síndrome do túnel do carpo: uma revisão sistemática

“…5,6 Thus clinical features are not entirely reliable and require the importance of NCS as a confirmatory resource. 5,6,16 Besides, clinical characteristics of CTS are quite variable and difficult to interpret, being associated with psychosocial factors which may promote divergences between the clinical and electrophysiological diagnoses, as well as therapeutic inefficacy. [17][18][19][20][21][22] Although the current literature recommends the combined use of clinical and NCS to establish CTS diagnosis, there are still conflicting results about the relationship between the severity of the electrophysiological findings and the clinical manifestations shown in CTS.…”