Clinical Spectrum of Peripheral Neuropathy in Post-AcuteSpinal Cord Injured Patients.

, Shin, Yong Sik; , Kim, Sang Hyun; , Kim, Myeong Ok

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2008;32(5):533-536.

Shin, Yong Sik , Kim, Sang Hyun , Kim, Myeong Ok

Department of Rehabilitation Medicine, Inha University College of Medicine, Korea. rmkmo@inha.ac.kr

급성기 후 척수손상환자에서 발생된 말초신경병증의 임상적 분석

신용식, 김상현, 김명옥

인하대학교 의과대학 재활의학교실

Abstract

Objective
To determine the incidence of peripheral neuropathy occurring in post-acute spinal cord injury patients.
Method
We retrospectively reviewed the distribution of involved nerves in 94 spinal cord injury patients (men: 77, mean age: 45.2 years) who underwent electrodiagnostic studies at an early stage of rehabilitative therapy between March 1999 and June 2007 and looked for the existence of peripheral neuropathy according to the injured area (cervical/ thoracolumbar cord).
Results
The incidence of peripheral neuropathy observed on electrodiagnostic studies was 38.3% (36/94). Twenty-one (46.7%) of 45 patients with injured cervical cords exhibited peripheral neuropathy, and 15 (30.6%) of 49 thoracolumbar cord injury patients exhibited peripheral neuropathy; hence, tetraplegia had a higher incidence. The most commonly involved nerve was the peroneal nerve (24 cases), followed by the median nerve (9 cases) and the ulnar nerve (9 cases).
Conclusion
The incidence of peripheral neuropathy observed in electrodiagnostic studies was high in spinal cord injury patients at the initiation of intensive rehabilitative therapy. The incidence of peripheral neuropathy in cervical cord injury patients was higher than that seen in thoracolumbar injury patients. Active education and training concerning appropriate bed positioning are necessary for spinal cord injury patients at an early stage after injury to prevent peripheral neuropathy. (J Korean Acad Rehab Med 2008; 32: 533-536)

Key Words: Peripheral neuropathy, Spinal cord injury, Electrodiagnosis