Profil electroneuromyographique des neuropathies dans une population de patients diabetiques admis dans un laboratoire de neurophysiologie

Adoukonou, A; Magy, Laurent; Gnonlonfoun, Dieudonné; Gallouedec, Gaël; Khalil, Markus; Vallat, G

doi:10.4314/ajns.v27i2.55102

Cited by 2 publications

(7 citation statements)

References 8 publications

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“…Mean agein our series was similar to reported by Adoukonou et al, [Adoukonou TA, 2008] but with short lasted diabetes and poorly controlled diabetes. These last two parameters were of 15 years and 7.9% respectively in this french series [Adoukonou TA, 2008]. Therapeutic and scalable glycemic profile is consistent with data of Partanen et al, [Partanen J, 1995].…”

Section: Discussionsupporting

confidence: 89%

“…Clinically, prevalence of neuropathic pain up to 71.4% is constant worldly [Adoukonou TA, 2008;Sharma KS, 2008;Argoff C, 2006]. In our study the VAS pain score found severe, moderate and light neuropathic pain in 35.2%, 58.8% and 5.8% respectively.…”

Section: Discussionsupporting

confidence: 52%

“…In our study the VAS pain score found severe, moderate and light neuropathic pain in 35.2%, 58.8% and 5.8% respectively. Sensory disorders seem to be the most common [Adoukonou TA, 2008]. The special feature of our study is the low rate of motor damage.…”

Section: Discussionmentioning

confidence: 71%

“…Diabetic neuropathy starts with the involvement of small non-myelinated fibers responsible for burning feet and paresthesia. EMG may become positive only after involvement of large myelinated fibers [Adoukonou TA, 2008]. A prevalence of sensorimotor neuropathy at 70% was already reported by Gautier et al, [Gautier JF, 1997].…”

Section: Discussionmentioning

confidence: 80%

“…The special feature of our study is the low rate of motor damage. It was reported 10% by Adoukonou et al, [Adoukonou TA, 2008]. According to some authors, this low rate is due to the fact that these abnormalities go unnoticed in clinical examination or sometimes reduced to a discrete level in the territory of neuralgia [Gautier JF, 1997].…”

Section: Discussionmentioning

confidence: 99%

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Diabetic Neuropathy in Black Sub-Saharian Africa Subject: Clinical and Electromyographic Fealures

Touré¹,

Diédhiou²,

Basse³

et al. 2015

J. Phys. Pharm. Adv.

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Diabetic neuropathy occurs in more than 60% of diabetic's populations. The aim of our study wasto describe clinical and electromyography characteristics of diabetic neuropathy in a Senegalese black diabetic population (Senegal). This was a cross-sectional study of 68 neuropathic type 2 diabetic patients with 56.8years mean age. Clinical examination, Visual Analog Scale, Neuropathy Symptom Score, Disability Neuropathy Score and electro neuromyography were used to characterize neuropathy. Mean duration of diabetes was 8.7 years and mean glycosylated hemoglobin9%. Motor neuron deficit was found in one patient. The main sensory disorders were paresthesia (97%), neuropathic pain (94%), and hyperesthesia (44%). Cramps were found in 45.5% and tendon reflex abnormalities in 63.2% of cases. Tachycardia (52.9%), intestinal transit disorders (42.6%) were the most common symptom of autonomic nervous system neuropathy. High blood pressure (p=0.05) and sex (p<0.001) were statistically associated with autonomic nervous system neuropathy. The electro neuromyography (EMG) showed axonal sensorimotor neuropathy (50.7%), demyelinating sensorimotor neuropathy (70%), axonal damage (27%) and myelin damage (20.6%). Axonal neuropathy was statistically correlated to diabetes' treatment (p<0.001) and demyelinating neuropathy with diabetes follow-up. Peripheral neuropathy was the most common type of polyneuropathy (42.6%). The EMG abnormalities were not statistically correlated with duration of diabetes and glycosylated hemoglobin (p>0.05). Diabetic neuropathy in our series is a multi variate symptom with usually mixed type. Its risks' factors were still poorly known. Studies on larger series would better characterize it.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Diabetic Neuropathy in Black Sub-Saharian Africa Subject: Clinical and Electromyographic Fealures

Touré¹,

Diédhiou²,

Basse³

et al. 2015

J. Phys. Pharm. Adv.

View full text Add to dashboard Cite

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Frequency of Distal Sensory Polyneuropathy among Diabetics in Parakou in 2012

Thierry¹,

Kouna-Ndouongo²,

Justine³

et al. 2015

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Background: The distal sensory polyneuropathy (DSP) was more frequent among diabetics, although its determinant was not well known among diabetics in Benin. Objective: We aimed to assess the frequency of DSP and its determinants among diabetics at Parakou. Methods: It was a cross-sectional study carried out from 1 March to 31 August 2012 and included 336 diabetics followed at the diabetes unit of Parakou hospital. The diagnosis of DSP was based on DNS (Diabetic Neuropathy Score) criteria and other criteria. All data concerning the diabetes mellitus were recorded. We used Epi-Info and SPSS 16.0 software to perform analysis. Results: They were 187 females (56.0%) with the mean age of 54.9 ± 10.9 years. 298 patients fulfilled criteria for DSP; the overall prevalence of DSP was 88.7%. The main associated factors in multivariate analysis were treatment duration of diabetes more than 4 years: OR = 36.7 [4.0-336.9]; the elevated glycaemia: OR = 3.1 [1.4-7.1]; the activity with high income: OR = 0.2 [0.0-0.8]; the ethnicity: nagots/fon: OR: 3.7 [1.4-12.5]. Conclusion: Those results suggested the high frequency of DSP among diabetics at Parakou.

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Profil electroneuromyographique des neuropathies dans une population de patients diabetiques admis dans un laboratoire de neurophysiologie

Cited by 2 publications

References 8 publications

Diabetic Neuropathy in Black Sub-Saharian Africa Subject: Clinical and Electromyographic Fealures

Diabetic Neuropathy in Black Sub-Saharian Africa Subject: Clinical and Electromyographic Fealures

Frequency of Distal Sensory Polyneuropathy among Diabetics in Parakou in 2012

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