Diagnóstico das neuropatias periféricas aspectos gerais da população em estudo: general characteristics of the population under study

Marques Júnior, Wilson; Barreira, Amilton Antunes

doi:10.1590/S0004-282X1992000400004

Resumos

O presente estudo tem por finalidade analisar aspectos gerais de população de 209 pacientes com neuropatias periféricas, atendidos no Hospital dias Clínicas de Ribeirão Preto no período de março-1985 a fevereiro-1987. Poucos são os trabalhos que avaliam pacientes com vista ao estudo dos fatores que contribuem ou não para o diagnóstico daquelas afecções. Os tipos de neuropatias encontrados, em ordem de frequência foram: polineuropatias, mono-neuropatias e multineuropatias. No primeiro grupo se destacaram as formas adquiridas e, no segundo, as lesões do plexo braquial. A média das idades foi 36,4 anos, com uma variação de 18 dias a 81 anos. O sexo masculino predominou, entre as polineuropatias, enquanto nas mo-noneuropatias o predomínio foi do feminino e nas multineuropatias a proporção entre os dois sexos foi semelhante. O tempo de seguimento dos pacientes foi menor que 6 meses para 52,6% dos casos e menor que 1 ano para 71,3%. Discutimos o significado e a importância de nossos achados.

neuropatias periféricas; diagnóstico; características gerais

The objective of the present investigation was to study the general characteristics of a population of 209 patients with peripheral neuropathies seen tat the University Hospital of Ribeirão Preto from March 1985 to February 1987. Few studies have been devoted to the evaluation of patients in order to investigate the factors that may or may not contribute to the diagnosis of these conditions. The types of neuropathy detected, were (in decreasing order of frequency) : polyneuropathies, mononeuropathies and multineuropathies. Acquired forms were particularly outstanding in the first group and brachial plexus injuries in the second. Mean patient age was 36.4 years (range: 18 days to 81 years). Polyneuropathies prevailed among males and mononeuropathies among females, whereas multineuropathies equally affected males and females. Patient follow-up was less than 6 months for 52.6% of cases and less than one year for 7.3%. The significance and importance of these findings are discussed.

peripheral neuropathies; diagnosis; general characteristics

Diagnóstico das neuropatias periféricas aspectos gerais da população em estudo

Diagnosis of peripheral neuropathies: general characteristics of the population under study

Wilson Marques Júnior^I; Amilton Antunes Barreira^II

^IMédico Assistente. Departamento de Neuropsiquiatria e Psicologia Médica da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo e Hospital das Clínicas de Ribeirão Preto

^IIProfessor Associado. Departamento de Neuropsiquiatria e Psicologia Médica da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo e Hospital das Clínicas de Ribeirão Preto

RESUMO

O presente estudo tem por finalidade analisar aspectos gerais de população de 209 pacientes com neuropatias periféricas, atendidos no Hospital dias Clínicas de Ribeirão Preto no período de março-1985 a fevereiro-1987. Poucos são os trabalhos que avaliam pacientes com vista ao estudo dos fatores que contribuem ou não para o diagnóstico daquelas afecções. Os tipos de neuropatias encontrados, em ordem de frequência foram: polineuropatias, mono-neuropatias e multineuropatias. No primeiro grupo se destacaram as formas adquiridas e, no segundo, as lesões do plexo braquial. A média das idades foi 36,4 anos, com uma variação de 18 dias a 81 anos. O sexo masculino predominou, entre as polineuropatias, enquanto nas mo-noneuropatias o predomínio foi do feminino e nas multineuropatias a proporção entre os dois sexos foi semelhante. O tempo de seguimento dos pacientes foi menor que 6 meses para 52,6% dos casos e menor que 1 ano para 71,3%. Discutimos o significado e a importância de nossos achados.

Palavras-chave: neuropatias periféricas, diagnóstico, características gerais.

SUMMARY

The objective of the present investigation was to study the general characteristics of a population of 209 patients with peripheral neuropathies seen tat the University Hospital of Ribeirão Preto from March 1985 to February 1987. Few studies have been devoted to the evaluation of patients in order to investigate the factors that may or may not contribute to the diagnosis of these conditions. The types of neuropathy detected, were (in decreasing order of frequency) : polyneuropathies, mononeuropathies and multineuropathies. Acquired forms were particularly outstanding in the first group and brachial plexus injuries in the second. Mean patient age was 36.4 years (range: 18 days to 81 years). Polyneuropathies prevailed among males and mononeuropathies among females, whereas multineuropathies equally affected males and females. Patient follow-up was less than 6 months for 52.6% of cases and less than one year for 7.3%. The significance and importance of these findings are discussed.

Key words: peripheral neuropathies, diagnosis, general characteristics.

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Agradecimento Os autores deste e dos quatro artigos que se seguem, sobre neuropatias periféricas, agradecem: ao Prof. Dr. Antonio Spina-França, pelas valiosas sugestões; às Sras. Sílvia Lúcia Leonardo dos Santos e Aparecida Elisabete Gomes Sartori, pelo trabalho de datilografia.

Dr. Amilton Antunes Barreira Departamento de Neuropsiquiatria e Psicologia Médica, Faculdade de Medicina de Ribeirão Preto, USP - Ribeirão Preto SP - Brasil.

1. Adams RD, Victor M. Principles of Neurology, Ed. 3. New York: Mac Graw-Hill, 1985, p 960-1006.
2. Aimard G, Trovillas P, Fournier G, Dévic M. Remarques à propos d'une statistique hospitalièere de 129 cas de neuropathies périphériques. Lyon Med 1976, 235:295-302.
3. Aminoff MJ. Eletromiography in Clinical Practice Ed 2. London: Churchill Livingstone, 1987.
4. Asbury AK. New aspects of disease of the peripheral nervous system. In Harrison's Textbook of Internal Medicine, Update IV. New York: Mac Graw-Hill, 1983, p 211-219.
5. Asbury AK. Disorders of peripheral nerve. In Asbury AK, MacKhann GM, MacDonald WI (eds): Diseases of the Nervous System. Philadelphia: Saunders, 1986, p 321-336.
6. Corvisier N, Vallat JM, Hugon J, Lubeau M, Dumas M. Les neuropathies de cause indeterminée. Rev Neurol (Paris) 1987, 143:279-283.
7. DeJong RN. The Neurologic Examination. Ed. 4. Hagerstown: Harper & Row, 1979, p 545-597.
8. Dyck PJ, Oviatt KF, Lambert EH, Intensive evaluation of referred unclassified neuropathies yields improved diagnosis. Ann Neurol 1981, 10:222-226.
9. Fagius J. Chronic cryptogenic polyneuropathy. Acta Neurol Scand 1983, 67:173-180.
10. Gudmundsson KR. Prevalence and occurrence of some rare neurological diseases in Iceland. Acta Neurol Scand 1969, 45 :114-118.
11. Jakobsen J, Sidenius P, Gaard HB. A proposal for a classification of neuropathies according to their aronal transport abnormalities. J Neurol Neurosurg Psychiatry 1986, 49:986-990.
12. MacLeod JG, Tuck RR, Pollard JD, Cameron J, Walsh JC. Chronic polyneuropathy of undetermined cause. J Neurol Neurosurg Psychiatry 1984, 47:530-535.
13. Martínez y Martínez ME. Neuropatías diabéticas numa população brasileira. Dissertação de Mestrado. Universidade de São Paulo. Ribeirão Preto, 1986.
14. Matthews WB. Cryptogenic polyneuritis. Proe R, Soc Med 1952, 45:667-669.
15. Organização Mundial de Saúde (OMS). Report of the study group on peripheral neuropathies. Technical Report Series 654. (Publicado no Brasil por Laboratorios Sintofarma S/A). São Paulo, 1980.
16. Osuntokun BO. Geographical patterns of neuropathy: Africa. In Asbury AK, Giliat RW: Peripheral Nerve Disorders: a practical approach. London: Butterworths, 1984 p 320-328.
17. Prineas JW. Polyneuropathies of undetermined causa. Acta Neurol Scand 1970, 46:5-72.
18. Rasminsky M, Bray GM. Pathophysiology of nerve and root disorders. In Asbury AK, MacKhann GM, McDonald WI: Diseases of the Nervous System. Philadelphia: Saunders, 1986, p 311-320.
19. Rose FC. Discussion on neuropathies in rheumatic disease and steroid theraphy. Proc R Soe Med 1960, 53:51-53.
20. Thomas PK. Clinical features and differential diagnosis. In Dyck PJ, Thomas PK, Lambert EH, Bunge R: Peripheral neuropathy. Ed. 2. Philadelphia: 1984, p 1169-1190.
21. Windebank AJ, McCall JT, Dyck PJ. Metal neuropathy. In Dyck PJ, Thomas PK, Lambert EH, Bunge R. Peripheral Neuropathy. Ed. 2. Philadelphia: Saunders 1984, p 2133-2161.
22. Wright FS. Neuropathies in childhood. In Swaiman KF, Wright FS. The Practice of Pediatric Neurology. Ed 2, St. Louis: Mosby, 1982, p 1170-1203.

Datas de Publicação

Publicação nesta coleção
22 Fev 2011
Data do Fascículo
Dez 1992

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Adams RD, Victor M. Principles of Neurology, Ed. 3. New York: Mac Graw-Hill, 1985, p 960-1006.

[2] 2. Aimard G, Trovillas P, Fournier G, Dévic M. Remarques à propos d'une statistique hospitalièere de 129 cas de neuropathies périphériques. Lyon Med 1976, 235:295-302.

[3] 3. Aminoff MJ. Eletromiography in Clinical Practice Ed 2. London: Churchill Livingstone, 1987.

[4] 4. Asbury AK. New aspects of disease of the peripheral nervous system. In Harrison's Textbook of Internal Medicine, Update IV. New York: Mac Graw-Hill, 1983, p 211-219.

[5] 5. Asbury AK. Disorders of peripheral nerve. In Asbury AK, MacKhann GM, MacDonald WI (eds): Diseases of the Nervous System. Philadelphia: Saunders, 1986, p 321-336.

[6] 6. Corvisier N, Vallat JM, Hugon J, Lubeau M, Dumas M. Les neuropathies de cause indeterminée. Rev Neurol (Paris) 1987, 143:279-283.

[7] 7. DeJong RN. The Neurologic Examination. Ed. 4. Hagerstown: Harper & Row, 1979, p 545-597.

[8] 8. Dyck PJ, Oviatt KF, Lambert EH, Intensive evaluation of referred unclassified neuropathies yields improved diagnosis. Ann Neurol 1981, 10:222-226.

[9] 9. Fagius J. Chronic cryptogenic polyneuropathy. Acta Neurol Scand 1983, 67:173-180.

[10] 10. Gudmundsson KR. Prevalence and occurrence of some rare neurological diseases in Iceland. Acta Neurol Scand 1969, 45 :114-118.

[11] 11. Jakobsen J, Sidenius P, Gaard HB. A proposal for a classification of neuropathies according to their aronal transport abnormalities. J Neurol Neurosurg Psychiatry 1986, 49:986-990.

[12] 12. MacLeod JG, Tuck RR, Pollard JD, Cameron J, Walsh JC. Chronic polyneuropathy of undetermined cause. J Neurol Neurosurg Psychiatry 1984, 47:530-535.

[13] 13. Martínez y Martínez ME. Neuropatías diabéticas numa população brasileira. Dissertação de Mestrado. Universidade de São Paulo. Ribeirão Preto, 1986.

[14] 14. Matthews WB. Cryptogenic polyneuritis. Proe R, Soc Med 1952, 45:667-669.

[15] 15. Organização Mundial de Saúde (OMS). Report of the study group on peripheral neuropathies. Technical Report Series 654. (Publicado no Brasil por Laboratorios Sintofarma S/A). São Paulo, 1980.

[16] 16. Osuntokun BO. Geographical patterns of neuropathy: Africa. In Asbury AK, Giliat RW: Peripheral Nerve Disorders: a practical approach. London: Butterworths, 1984 p 320-328.

[17] 17. Prineas JW. Polyneuropathies of undetermined causa. Acta Neurol Scand 1970, 46:5-72.

[18] 18. Rasminsky M, Bray GM. Pathophysiology of nerve and root disorders. In Asbury AK, MacKhann GM, McDonald WI: Diseases of the Nervous System. Philadelphia: Saunders, 1986, p 311-320.

[19] 19. Rose FC. Discussion on neuropathies in rheumatic disease and steroid theraphy. Proc R Soe Med 1960, 53:51-53.

[20] 20. Thomas PK. Clinical features and differential diagnosis. In Dyck PJ, Thomas PK, Lambert EH, Bunge R: Peripheral neuropathy. Ed. 2. Philadelphia: 1984, p 1169-1190.

[21] 21. Windebank AJ, McCall JT, Dyck PJ. Metal neuropathy. In Dyck PJ, Thomas PK, Lambert EH, Bunge R. Peripheral Neuropathy. Ed. 2. Philadelphia: Saunders 1984, p 2133-2161.

[22] 22. Wright FS. Neuropathies in childhood. In Swaiman KF, Wright FS. The Practice of Pediatric Neurology. Ed 2, St. Louis: Mosby, 1982, p 1170-1203.