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J Korean Neurol Assoc. 1995;13(3):528-535.
- Clinical and Electrophysiological Characteristics of Alcoholic ?Neuropathy
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Sung Hyun Lee, M.D., Han Bo Lee, M.D., Seong Ho Park, M.D., Kwang Woo Lee, M.D.
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Department of Neurology, College of Medicine, Seoul National University and Department of Neurology, Boramae city Hospital
- 알코올성 말초신경병증의 임상 및 전기생리학적 특성
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이성현, 이광우, 이한보, 박성호
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서울대학교 신경과, 보라매병원 신경과
- Abstract
- Authors analyzed clinical and electrophysiological features of 35 patients with alcoholic neuropathy who had visited the Boramae City Hospital. All patients were men. Most of the cases drank alcohol everyday. The duration of alcohol consumption is from 2 to 47 years (mean, 17.8 years). Patients with relatively short history of alcohol consumption had a tendency to take more inadequate meals.
Clinically we found two distinct separable categories ; one was sensorimotor peripheral
neuropathy associated with other alcoholic complications, such as Wemicke and Pellagra
disease, delirium tremens, liver disease etc(24 patients). The other had subacutely
progressing prominent weakness with sensory change, especially in lower extremities(ll
patients). Electrophysiological studies showed decreased amplitudes of sensory or motor
compound action potentials with relative preservation of conduction velocity favoring
axonal neuropathy. Among the electrophysiological parameters, abnormalities in
F-wave(78.3%), H-reflex(86.4%) and sural nerve conduction studies(78.8%) were more
frequently observed than in others, which were thought to be more sensitive parameters
with early involvement. In terms of electrophysiological pattern there were no definite
diffemeces between the two groups.
Keywords :
- 초록
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