الفهرس | Only 14 pages are availabe for public view |
Abstract Introduction: Early diagnosis of diabetic peripheral poly neuropathy is very important as it can cause significant morbidity and mortality. For diagnosing polyneuropathy, no golden standard is available. The aim of this study: Is to evaluate the value of electrophysiological findings in diagnosis of diabetic polyneuropathy and their correlation to some clinical neurological methods (DNSS, DNES, SWME). Subjects and methods: This study was carried out on 40 patients with type II diabetes mellitus in addition to 15 apparently healthy subjects matched for age and sex as a control group. All patients were subjected to full history taking, general examination, and full neurological examination, and DNSS, DNES, SWME and laboratory investigations. Nerve conduction studies were carried out for all patients & the control group. Results: Polyneuropathy was diagnosed in 28 patients (70%) by DNSS, in 24 patients (60%) by DNES, in 21 patients (52.5%) by SWME and in 35 patients (87.5%) by NCS. There were significant correlation between DNSS, DNES, SWME and other parameters of NCS. Conclusion: DNSS, DNES and SWME are simple, easy, fast, reliable and valid methods for diagnosis of most cases of peripheral polyneuropathy especially when used in combination. |