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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(5):1060-1064.
Carpal Tunnel Syndrome in Chronic Hemodialysis Patients.
Song, Yang Joo , Kim, Hyun Dong , Park, In Sun , Kim, Young Hun
1Department of Rehabilitation Medicine, Inje University College of Medicine.
2Department of Internal Medicine, Inje University College of Medicine.
혈액 투석 중인 만성 신부전 환자들에서의 수근관증후군
송양주, 김현동, 박인선, 김영훈1
인제대학교 의과대학 재활의학교실, 1내과학교실
Abstract

Objective
To investigate the prevalance of carpal tunnel syndrome (CTS) and polyneuropathy (PNP) in chronic hemodialysis patients, and to know the relationships between the clinical symptoms and electrophysiological evidence of CTS, the edema of the hand and CTS, and the shunt side and CTS.


Method
We carried out a standardized nerve conduction study on 30 patients who had undergone a chronic dialysis for varying lengths of time. Differential diagnosis between CTS and PNP was done on the basis of difference of the median-ulnar motor and sensory latencies in the patients with a prolonged distal median motor or sensory latency.


Results
Sixteen (54%) had a combined PNP with the CTS; Seven (23%) patients had a PNP only; Two (7%) patients had a CTS only. There was no definite findings of peripheral neuropathy in five (17%) patients. Among eighteen patients with the CTS, sixteen were subclinical and two were overt CTS. Presence of edema and shunt was not crucial for the development of CTS.


Conclusion
Prevalence of CTS in chronic hemodialysis patients was 60%. Subclinical CTS was more frequent compared to the overt CTS. Dialysis patients need a frequent nerve conduction study for the early identification of carpal tunnel syndrome and to avoid the irreversible nerve damage.

Key Words: Chronic renal failure, Hemodialysis, Carpal tunnel syndrome, Polyneuropathy


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