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High prevalence of ...
High prevalence of carpal tunnel syndrome in individuals with rare nerve growth factor-beta mutation
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- Ridderström, Mikael (författare)
- Gällivare Hospital, Gällivare, Sweden
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- Svantesson, Mats (författare)
- Linköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Region Östergötland, Neurofysiologiska kliniken US
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- Thorell, Oumie (författare)
- Linköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Region Östergötland, Neurofysiologiska kliniken US,Western Sydney University, Sydney, Australia
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- Magounakis, Theofilos (författare)
- Piteå Älvdals Hospital, Piteå, Sweden
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- Minde, Jan (författare)
- Gällivare Hospital, Gällivare, Sweden; Umeå University Hospital, Umeå, Sweden
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- Olausson, Håkan, 1965- (författare)
- Linköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Region Östergötland, Neurofysiologiska kliniken US
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- Nagi, Saad (författare)
- Linköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Region Östergötland, Neurofysiologiska kliniken US,Western Sydney University, Sydney, Australia
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(creator_code:org_t)
- 2020-06-25
- 2020
- Engelska.
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Ingår i: Brain Communications. - United Kingdom : Oxford University Press. - 2632-1297. ; 2:2
- Relaterad länk:
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https://doi.org/10.1...
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https://liu.diva-por... (primary) (Raw object)
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https://academic.oup...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- In Sweden, a large family with a point mutation in the nerve growth factor-beta gene has previously been identified. The carriers of this mutation have reduced small-fiber density and selective deficits in deep pain and temperature modalities. The clinical findings in this population are described as hereditary sensory and autonomic neuropathy type V. The purpose of the current study was to investigate the prevalence of carpal tunnel syndrome in hereditary sensory and autonomic neuropathy type V based on clinical examinations and electrophysiological measurements. Further, the cross-sectional area of the median nerve at the carpal tunnel inlet was measured with ultrasonography. Out of 52 known individuals heterozygous for the nerve growth factor-beta mutation in Sweden, 23 participated in the current study (12 males, 11 females; mean age, 55 years; range, 25 to 86 years). All participants answered a health questionnaire and underwent clinical examination followed by median nerve conduction study in a case-control design, and measurement of the nerve cross-sectional area with ultrasonography. The diagnosis of carpal tunnel syndrome was made based on consensus criteria using patient history and nerve conduction study. The prevalence of carpal tunnel syndrome in the hereditary sensory and autonomic neuropathy group was 35% (95% CI 19-55%) or 52% (95% CI 37-74%) depending on whether those individuals who had classic symptoms of carpal tunnel syndrome but negative nerve conduction studies were included or not. Those who had a high likelihood of carpal tunnel syndrome based on classic/probable patient history with positive nerve conduction study had a significantly larger median nerve cross-sectional area than those who had an unlikely patient history with negative nerve conduction study. The prevalence of carpal tunnel syndrome was 10 to 25 times higher in individuals heterozygous for the nerve growth factor-beta mutation than the general Swedish population. Further studies are needed to better understand the underlying pathophysiological mechanisms.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Carpal tunnel syndrome
- hereditary sensory and autonomic neuropathy type V
- nerve conduction
- nerve growth factor
- ultrasonography
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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