Electroneurographic parameters in patients with metabolic syndrome

Introduction: The aim of this study was to measure electroneurographic (ENG) parameters of the median and ulnar nerve in patients with metabolic syndrome and to determine whether the large imbalance in glycemic control came to neuropathic changes to the template. Methods: The study included 100 pat...

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Main Authors: Suljo Kunić, Emir Tupković, Mediha Nišić, Semiha Salihović
Format: Article
Language:English
Published: University of Sarajevo 2014-04-01
Series:Journal of Health Sciences
Subjects:
Online Access:https://www.jhsci.ba/ojs/index.php/jhsci/article/view/145
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author Suljo Kunić
Emir Tupković
Mediha Nišić
Semiha Salihović
author_facet Suljo Kunić
Emir Tupković
Mediha Nišić
Semiha Salihović
author_sort Suljo Kunić
collection DOAJ
description Introduction: The aim of this study was to measure electroneurographic (ENG) parameters of the median and ulnar nerve in patients with metabolic syndrome and to determine whether the large imbalance in glycemic control came to neuropathic changes to the template. Methods: The study included 100 patients with metabolic syndrome diagnosed according to the criteria of the National Cholesterol Education Program - Adult Treatment Panel III (NCEP-ATP III). The patients were divided into two groups. Group I – patients with normal glycemic control and Group II - patients with diabetes mellitus for up to five years. We measured sensory conductive velocity (SCV), the amplitude of sensory nerve action potential (SNAP), motor conductive velocity (MCV), terminal motor latency (TML) and compose muscle action potential after distal stimulation (CMAP-I) and after proximal stimulation (CMAP-II) for the ulnar and median nerve. Results: Sensory and motor parameters in Group II were amended to neuropathic pattern compared to Group I. There were significant differences in: SNAP amplitude for all tested nerves, SCV values for both left and right median and ulnar nerve; MCV and TML for left median nerve; MCV, TML and CMAP-I for right median nerve area; MCV and TML for left ulnar nerve; MCV, CMAP-I and CMAP-II for right ulnar nerve area. Conclusion: Patients with metabolic syndrome and diabetes mellitus duration of five years have the significant changes in sensory and motor peripheral nerves. Neuropathic changes are possible in patients with metabolic syndrome and normal glycemic control.
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spelling doaj.art-3bc023a12ecc40ff870c28ab27d63a782022-12-21T21:18:36ZengUniversity of SarajevoJournal of Health Sciences2232-75761986-80492014-04-014110.17532/jhsci.2014.144130Electroneurographic parameters in patients with metabolic syndromeSuljo Kunić0Emir Tupković1Mediha Nišić2Semiha Salihović3Department of Neurophysiology of Primary Health Centre Tuzla, Albina Herljevića 1, 75000 Tuzla, Bosnia and HerzegovinaDepartment of Neurophysiology of Primary Health Centre Tuzla, Albina Herljevića 1, 75000 Tuzla, Bosnia and Herzegovina Faculty of medicine, University of Tuzla, Univerzitetska 1, 75000 Tuzla, Bosnia and Herzegovina.Department of Neurophysiology of Primary Health Centre Tuzla, Albina Herljevića 1, 75000 Tuzla, Bosnia and HerzegovinaDepartment of Neurophysiology of Primary Health Centre Tuzla, Albina Herljevića 1, 75000 Tuzla, Bosnia and HerzegovinaIntroduction: The aim of this study was to measure electroneurographic (ENG) parameters of the median and ulnar nerve in patients with metabolic syndrome and to determine whether the large imbalance in glycemic control came to neuropathic changes to the template. Methods: The study included 100 patients with metabolic syndrome diagnosed according to the criteria of the National Cholesterol Education Program - Adult Treatment Panel III (NCEP-ATP III). The patients were divided into two groups. Group I – patients with normal glycemic control and Group II - patients with diabetes mellitus for up to five years. We measured sensory conductive velocity (SCV), the amplitude of sensory nerve action potential (SNAP), motor conductive velocity (MCV), terminal motor latency (TML) and compose muscle action potential after distal stimulation (CMAP-I) and after proximal stimulation (CMAP-II) for the ulnar and median nerve. Results: Sensory and motor parameters in Group II were amended to neuropathic pattern compared to Group I. There were significant differences in: SNAP amplitude for all tested nerves, SCV values for both left and right median and ulnar nerve; MCV and TML for left median nerve; MCV, TML and CMAP-I for right median nerve area; MCV and TML for left ulnar nerve; MCV, CMAP-I and CMAP-II for right ulnar nerve area. Conclusion: Patients with metabolic syndrome and diabetes mellitus duration of five years have the significant changes in sensory and motor peripheral nerves. Neuropathic changes are possible in patients with metabolic syndrome and normal glycemic control.https://www.jhsci.ba/ojs/index.php/jhsci/article/view/145ElectroneurographyMetabolic syndromeDiabetes mellitus
spellingShingle Suljo Kunić
Emir Tupković
Mediha Nišić
Semiha Salihović
Electroneurographic parameters in patients with metabolic syndrome
Journal of Health Sciences
Electroneurography
Metabolic syndrome
Diabetes mellitus
title Electroneurographic parameters in patients with metabolic syndrome
title_full Electroneurographic parameters in patients with metabolic syndrome
title_fullStr Electroneurographic parameters in patients with metabolic syndrome
title_full_unstemmed Electroneurographic parameters in patients with metabolic syndrome
title_short Electroneurographic parameters in patients with metabolic syndrome
title_sort electroneurographic parameters in patients with metabolic syndrome
topic Electroneurography
Metabolic syndrome
Diabetes mellitus
url https://www.jhsci.ba/ojs/index.php/jhsci/article/view/145
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AT emirtupkovic electroneurographicparametersinpatientswithmetabolicsyndrome
AT medihanisic electroneurographicparametersinpatientswithmetabolicsyndrome
AT semihasalihovic electroneurographicparametersinpatientswithmetabolicsyndrome