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KMID : 0378019890320020067
New Medical Journal
1989 Volume.32 No. 2 p.67 ~ p.72
Electrodiagnostic Study of Dianetic Patients


Abstract
Nerve conduction study is recognized as a very useful and objective tool for the diagnosis of diabetic neuropathy.
However, the changes in nerve conduction study are not severe enough to be considered abnormal, even if diabetic patients have neurologic symptoms.
Diabetic radiculopathy may occur as an early complication of diabetes who have no clinical or electromyographic evidence of polyneuropathy.
The purpose of this study is to demonstrate the value of nerve conduction study and electromyography of paraspinal muscles in the diagnosis of diabetic neuropathy and/or radiculopathy, and the relationship with neurological symptoms.
The subjects of this study were 63 inpatients cases with diabetes mellitus aged 19 to 75 years old, who
admitted to Wonju Christial Hospital, Yonsei University Wonju College of Medicine. The study has carried out from October, 1987 to October, 1988. The results are as follows:
1) Of the total 63 cases, 30 were male and 33 female.
2) Electrodiagnostic study revealed nueropathies in 38 cases (60.3%) and radiculopathies in 45 cases (714%). 3) Of the 38 cases with diabetic neuropathy, 32 cases were accompanied by radiculopathy.
4) In cases with a history of diabetes 5 years or longer, neuropathy was a more frequent finding. For cases ith a history shorter than 5 years, radiculopathy was more frequent.
5) In the electrodiagnostic study, 89.7% of the clinically symptomatic cases and 56.0% of the nonsymptomatic cases showed diabetic neuropathy and/or radiculopathy showing that pathological cmnditions can exist without subjective symptoms on the part of the patients.
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