[논문]대퇴감각이상증의 임상 및 전기생리학적 특징

최문희; 박하늘; 엄영인; 주인수

doi:10.14253/kjcn.2013.15.2.48

대퇴감각이상증의 임상 및 전기생리학적 특징
Clinical and Electrophysiological Characteristics of Meralgia Paresthetica 원문보기

대한임상신경생리학회지 = Korean journal of clinical neurophysiology, v.15 no.2, 2013년, pp.48 - 52

최문희 (아주대학교 의과대학 신경과학교실) , 박하늘 (아주대학교 의과대학 신경과학교실) , 엄영인 (아주대학교 의과대학 신경과학교실) , 주인수 (아주대학교 의과대학 신경과학교실)

Abstract ▼ AI-Helper

Background: Meralgia paresthetica (MP) is a mononeuropathy affecting the lateral femoral cutaneous nerve. The disease is often diagnosed clinically, but electrophysiological tests play an important role. The aim of this study is to clarify clinical characteristics of MP as well as the role of sensory nerve conduction study (NCS) in the diagnosis of MP. Methods: Sixty-five consecutive patients with clinical diagnosis of MP between March 2001 and June 2012 were retrospectively reviewed at a single tertiary center. General demographics, clinical characteristics and sensory NCS findings were investigated. Measurements of sensory NCS included the baseline-to-peak amplitude, side-to-side amplitude ratio and the conduction velocity. To compare between the normal and abnormal NCS groups, independent t-tests and chisquare test were performed. Results: Sixty-five patients had male predominance (56.9%) with mean age of $48.4{\pm}13.4$ years (range: 16-75). Seven patients (13.5%) had undergone operation or procedure before the symptom onset. The sensory nerve action potentials were obtainable in 52 (80%) of 65 clinically diagnosed MP patients. Sensory NCS revealed abnormalities in 38 patients (73.1%), and others (n=14, 26.9%) showed normal findings. Between the normal and abnormal NCS groups, there is no statistically significant difference on demographics or clinical features. Conclusions: We clarify the clinical features and sensory NCS findings of MP patients. Due to several limitations of sensory NCS, the diagnosis of MP could be accomplished both clinically and electrophysiologically.

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문제 정의

^5,9-12 The studies on correlation of electrophysiological findings with clinical features is very limited in number. The aim of this study was to clarify clinical characteristics of MP as well as the role of sensory NCS in the diagnosis of MP.

제안 방법

Sensory NCS of the bilateral LFCN were performed in all patients. In patients suspected with other diseases mimicking MP, needle electromyography, spinal imaging, and laboratory test were done. These investigations were conducted to rule out other diseases, such as lumbosacral root disorders, polyneuropathy or metabolic diseases.

대상 데이터

. BMI measurements were available in 35 patients.

데이터처리

Data analysis was conducted using independent t-test, Fisher’s exact test, and chi-square test.

이론/모형

Data analysis was conducted using independent t-test, Fisher’s exact test, and chi-square test. In subgroup analyses, independent t-test, chi-square test, and Mann-Whitney test were used. P-value less than 0.

성능/효과

The electrophysiological characteristics of MP observed in this study can be summarized as follows. First, a significant portion of patients with MP had normal NCSs (n = 14, 26.9%). In recent studies, diagnoses of MP were made using electrophysiological methods.

참고문헌 (24)

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대퇴감각이상증의 임상 및 전기생리학적 특징
Clinical and Electrophysiological Characteristics of Meralgia Paresthetica 원문보기

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대퇴감각이상증의 임상 및 전기생리학적 특징 Clinical and Electrophysiological Characteristics of Meralgia Paresthetica 원문보기

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대퇴감각이상증의 임상 및 전기생리학적 특징
Clinical and Electrophysiological Characteristics of Meralgia Paresthetica 원문보기

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