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Peripheral neuropathy after burn injury.
1Department of Neurology, Dicle University School of Medicine, Diyarbakir, Turkey. yusuta@yahoo.com
European Review for Medical and Pharmacological Sciences
|February 26, 2013
Summary
Burn-related peripheral neuropathy is a common complication, often overlooked. Electrodiagnostic studies revealed prolonged nerve latencies and reduced potentials, with polyneuropathies being more frequent.
Area of Science:
- Neurology
- Burn Medicine
- Electrophysiology
Background:
- Peripheral neuropathy is a significant disabling complication following major burn injuries.
- These neuropathies, linked to thermal and electrical burns, are frequently underdiagnosed.
- Burn-related nerve damage can manifest as mononeuropathy or generalized polyneuropathy.
Purpose of the Study:
- To determine the prevalence of burn-related neuropathy in a clinical database.
- To investigate clinical factors associated with mononeuropathy and polyneuropathy after burns.
- To highlight the importance of electrodiagnostic evaluation in burn patients.
Main Methods:
- Retrospective analysis of 47 burn patients diagnosed with peripheral neuropathy.
- Data collected included patient demographics, burn characteristics (degree, site, surface area, type), and electrodiagnostic results.
- Electromyography (EMG) and nerve conduction studies (NCS) were utilized.
Main Results:
- Peripheral neuropathy was confirmed in all evaluated burn patients via electrodiagnostic studies.
- Following burn treatment, patients exhibited prolonged motor and sensory distal latencies.
- Reduced amplitude of sensory nerve action potentials was observed.
Conclusions:
- Polyneuropathies and axonal neuropathies are more prevalent than mononeuropathies and demyelinating neuropathies in burn survivors.
- Electrodiagnostic assessment is crucial for identifying burn-associated peripheral neuropathy.
- Early diagnosis and management of neuropathy can mitigate long-term disability.
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