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Neurologic Evaluations of Patients Exposed to the World Trade Center Disaster
Mark M Stecker1, Huiying Yu, Renee Barlev
1Department of Neuroscience (Drs Stecker, Yu); Department of Medicine, Winthrop University Hospital, Mineola (Dr Barlev); Department of Population Health, Environmental Medicine and Medicine, NYU Langone Medical Center, New York (Drs Marmor, Wilkenfeld); and Department of Medicine/Division of Occupational Medicine, Winthrop University Hospital, Mineola, New York (Dr. Wilkenfeld).
Objective:
The aim of this study was to describe the clinical phenotype of a limited group of responders and survivors of the World Trade Center (WTC) disaster who were referred for the evaluation of neuropathic symptoms.
Methods:
Sixteen patients with WTC exposure were referred to a neurologist for evaluation. All had a neurologic examination. Most had electromyogram and nerve conduction testing/nerve conduction studies as well as appropriate imaging and blood tests.
Results:
There was a higher probability of a neuropathy diagnosis in WTC-exposed patients than other patients referred for EMG testing. Two WTC-exposed patients had motor neuron disease and not neuropathy.
Conclusion:
This study provides objective evidence of neuropathy in a relatively high fraction of WTC-exposed patients with neuropathic symptoms. It also emphasizes that the scope of neurologic problems following WTC exposure may include other diagnoses such as motor neuron disease.
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