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Neuropathy in burn patients

S Marquez1, J J Turley, W J Peters

  • 1Department of Medicine, Wellesley Hospital, Toronto, Canada.

Brain : a Journal of Neurology
|April 1, 1993
PubMed
Summary

Neuropathic complications in burn patients are often missed. This study found mononeuritis multiplex in 69% of burn patients with neuropathy, suggesting a need for better diagnosis.

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Area of Science:

  • Neurology
  • Burn Medicine
  • Critical Care

Background:

  • Neuropathic complications in burn patients are frequently undiagnosed.
  • Early identification and management are crucial for patient outcomes.

Purpose of the Study:

  • To investigate the incidence and characteristics of neuropathies in burn patients.
  • To identify potential risk factors and etiological mechanisms.

Main Methods:

  • Retrospective study of 800 patients admitted to a tertiary care burns centre (1984-1991).
  • Neurophysiological testing to confirm neuropathy.
  • Analysis of patient demographics, burn severity, complications, and recovery.

Main Results:

  • 19 out of 800 patients (2.4%) exhibited signs of neuropathy.
  • Mononeuritis multiplex was the most common finding (69%), often localized to burn areas.
  • Severe burns (TBSA > 20%) and longer hospitalization correlated with nerve involvement.
  • No correlation found between neuropathy and age, sex, serum markers, or sepsis.

Conclusions:

  • Neuropathy is an underrecognized complication in severe burn patients.
  • Mononeuritis multiplex appears to be a common presentation.
  • Vascular compromise, thermal injury, or toxins are potential causes requiring further investigation.

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