Somatosensory Evoked Potential Study in Patients with Polyneuropathy with Chronic Renal Failure. |
Cho, Jong Hoon , Kwon, Yong Wook , Ahn, Jae Hong , Lee, Jung Ho , Kim, Sang Beom |
1Department of Rehabilitation Medicine, Dongguk University College of Medicine, Korea. 2Department of Internal Medicine, Dongguk University College of Medicine, Korea. 3Department of Rehabilitation Medicine, Dong-A University College of Medicine, Korea. |
만성 신부전 환자에서 신경병증 평가를 위한 체성감각유발전위검사 |
Jong-Hoon Cho, M.D., Yong-Wook Kwon, M.D., Jae-Hong Ahn, M.D., Jung-Ho Lee, M.D.* and Sang-Beom Kim, M.D.** |
동국대학교 의과대학 재활의학교실 및 내과학교실*, 동아대학교 의과대학 재활의학교실** |
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Abstract |
Polyneuropathy is a common complication of chronic renal failure and usually remains stable or improves with hemodialysis. The purpose of this study was to investigate the usefulness of somatosensory evoked potential(SEP) study for the evaluation of polyneuropathy in chronic renal failure(CRF) patients who were on hemodialysis. The clinical findings, conventional nerve conduction study and SEP study were analyzed and compared in 30 patients with chronic renal failure before and after hemodialysis. Abnormal electrophysiological findings were shown in 25 patients(83.3%) of whom 8 patients showed abnormal somatosensory evoked potential(SEP) study only. Therefore it would be useful to perform both the somatosensory evoked potential(SEP) study and conventional nerve conduction study(NCS) for the evaluation of polyneuropathy. Improvement of somatosensory evoked potential(SEP) finding is correlated well with that of clinical symptoms after hemodialysis. Therefore, somatosensory evoked potential(SEP) study can be used to monitor with progression of polyneuropathy in patients with chronic renal failure(CRF) who were on hemodialysis. |
Key Words:
Uremic polyneuropathy, Somatosensory evoked potential |
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