The Potential Hazards Expected For Non-Adults By The Electroneurophysiological Diagnosis

• Main Authors: Abdurrahman Sonmezler, Tahir Kurtulus Yoldas, Dost Zeyrek
• Format: Article
• Language: English
• Published: Cukurova University 2013-06-01
• Series: Çukurova Üniversitesi Tıp Fakültesi Dergisi
• Subjects: Pediatrics; electroneuromyography
• Online Access: http://www.scopemed.org/fulltextpdf.php?mno=23810

Objective: Electroneuromyography (ENMG) is an essential method for demonstrating the neurophysiological status. We performed this trial to reflect the variety of the ENMG diagnoses and the compliance between the preliminary diagnosis and the ENMG result in pediatric cases in our region. Material and Method: The ENMG diagnoses of the pediatric patients presenting to our electroneurophysiology laboratory during a 2-year period were investigated. Results: The mean age of the 789 pediatric patients was 6.56± 4.81. Among them, there were 415 males (52.6%) with a mean age of 6.57±4.72, and 374 females (47.4%) with a mean age of 6.54±4.91. The ENMG diagnoses were as follows: 141 patients (17.9%) with brachial plexus lesion, 65 patients (8.2%) with peripheral nerve injury due to sharp object injury, gunshot injury and various accidents (traffic accidents, falling down from height etc), 48 patients (6.1%) with polyneuropathy (non-acute onset), 39 patients (4.9%) with myopathy, 37 patients (4.7%) with injection neuropathy, 34 patients (4.3%) with Guillain Barre Syndrome (GBS). 329 cases (41.7%) had normal ENMG findings despite the presence of a preliminary diagnosis. 460 had (58.3%) pathological ENMG findings. Conclusion: In the pediatric age group, the most common diagnosis was the brachial plexus lesion. The fact that more than 30% of the cases had traumatic nerve injury revealed that preventive measures should be taken against accidents and in relation to medical procedures for non-adults. The preliminary diagnosis-ENMG compliance rate of 58.3% indicates the necessity to reduce the off-label ENMG request. [Cukurova Med J 2013; 38(3.000): 412-416]