Electrophysiologic studies in leprosy

Brasil-Neto, Joaquim P.

doi:10.1590/S0004-282X1992000300009

Abstracts

The author reviews the literature on electromyography and nerve conduction velocity studies in leprosy. It is concluded that these studies can be helpful in the early diagnosis of neural involvement, in the elucidation of pathophysiological mechanisms, and in the follow-up of patients under medical and/or surgical treatment.

leprosy; electromyography; nerve conduction velocity

O autor faz revisão da literatura acerca dos estudos de eletromiografia e de velocidades de condução nervosa na hanseníase. Concllui que tais estudos podem ser úteis para o diagnóstico precoce do envolvimento neural, para a elucidação de mecanismos fisiopatológicos e para o acompanhamento de pacientes sob tratamento clínico e/ou cirúrgico.

hanseníase; eletromiografia; velocidade de condução nervosa

Joaquim P. Brasil-Neto

Neurologist and Clinical Neurophysiologist, Hospital for Diseases of the Locomotor System SARAH, Brasilia, DF, Brazil

SUMMARY

The author reviews the literature on electromyography and nerve conduction velocity studies in leprosy. It is concluded that these studies can be helpful in the early diagnosis of neural involvement, in the elucidation of pathophysiological mechanisms, and in the follow-up of patients under medical and/or surgical treatment.

Key word's: leprosy, electromyography, nerve conduction velocity.

RESUMO

O autor faz revisão da literatura acerca dos estudos de eletromiografia e de velocidades de condução nervosa na hanseníase. Concllui que tais estudos podem ser úteis para o diagnóstico precoce do envolvimento neural, para a elucidação de mecanismos fisiopatológicos e para o acompanhamento de pacientes sob tratamento clínico e/ou cirúrgico.

Palavras chave: hanseníase, eletromiografia, velocidade de condução nervosa.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Joaquim P. Brasil Neto, M.D. - 263 Congressional Lane, T-11 - Rockville, MD 20852 - USA.

1. Antia NH, Divekar SC, Dastur DK. The facial nerve in leprosy: I. Clinical and operative aspects. Internal J Leprosy 1966, 34:103-117.
2. Antia NH, Mehta L, Shetty V, Irani PF. Clinical, electrophysiological, quantitative, histologic and ultrastructural studies of the index branch of the radial cutaneous nerve in leprosy: I. Preliminary report. Internat J Leprosy 1975, 43:106-113.
3. Antia NH, Pandya SS, Dastur DK. Nerves in the arm in leprosy. I. Clinical, electro-diagnostic and operative aspects. Internat J Leprosy. Mycobact Dis 1970, 38:12-29.
4. Baccareda-Boy A, Mastropaoli C, Pastorino P, Sacco G, Farris G. Electromyographic findings in leprosy. Internat J Leprosy 1963, 31:531-532.
5. Carayon A, Rigal J. Value of electrophysiological investigation for therapeutic indications in leprous neuritis. Med Trop (Mars) 1972, 32:9-21.
6. Chaco J, Magora A, Zauberman H, Landau Y. An electromyographic study of lagophthal-mos in leprosy. Internat J Leprosy Mycobact Dis 1968 36:288-295.
7. Dastur DK. Leprosy (an infectious and immunological disorder of the nervous system). In Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. Amsterdam: Elsevier/ North-Holland, 1978, Vol 33, p 421-468.
8. Dastur DK, Antia NH, Divekar SC. The facial nerve in leprosy: 2. Pathology, pathogenesis, electromyography and clinical correlations. Internat J Leprosy Mycobact Dis 1966, 34:118-138.
9. Dastur DK, Pandya SS, Antia NH. Nerves in the arm in leprosy: 2. Pathology, pathogenesis and clinical correlations. Internat J Leprosy 1970, 38:30-48.
10. DeFaria CR, Silva IM. Electromyographic diagnosis of leprosy. Arq Neuropsiquiatr 1990, 48:403-413.
11. Dhand UK, Kumar B, Dhand R, Chopra JS, Kaur S. Phrenic nerve conduction in leprosy. Internat J Leprosy Mycobact Dis 1988, 50:389-393.
12. Donde SV, Shah A, Antia NH. Nerve conduction in leprosy: in vivo and in vitro study. Lepr India 1983, 56:12-21.
13. Granger CV. Nerve conduction and correlative clinical studies in a patient with tuberculoid leprosy. Am J Phys Med 1966, 45:244-250.
14. Hackett ER, Shipley BE, Livengood R. Motor nerve conduction velocity studies of the ulnar nerve in patients with leprosy. Internat J Leprosy Mycobact Dis 1968, 36:282-287.
15. Haridasan G, Sanghvi SH, Joshi VM, Pandya SS, Desai AD. Quantitative electromyography using automatic analysis: diagnostic utility of turns per unit amplitude. J Neurol Sci 1980, 48:353-365.
16. Herskovits E, Chamoles N. Neuro-leprosy: value of electromyography. Arq Neuropsiquiatr 1971, 29:337-340.
17. Jopling WH, Morgan-Hughes JA. Pure neural tuberculoid leprosy. Br Med J 1965, 2:799-800.
18. Kandhari KC, Sehgal VN. Electromyographic studies in leprosy and dermatomyositis. Dermatol Internat 1965, 4:96-101.
19. Lewis S. Reproducibility of sensory testing and voluntary muscle testing in evaluating the treatment of acute neuritis in leprosy patients. Lepr Rev 1983, 54:23-30.
20. Magora A, Sagher F, Chaco J, Adler E. An electrodiagnostic study of the lower motor unit in leprosy. Internat J Lepr 1965, 33:829-864.
21. Mansour SE, Mehasen A, el-Ariny AF. Muscular changes in lepromatous leprosy. Trans R Soc Trop Med Hyg 1970, 64:918-920.
22. Ndiaye-Niang M, Diagne M, Ndiaye IP, Boucher P, Millan J. The value of electromyographic studies in leprosy. Acta Leprol 1986, 4:51-58.
23. Ranney DA. The prevalence and consequences of misreinnervation in facial neuritis. Internat J Leprosy Mycobact Dis 1974, 42:316-322.
24. Ranney DA, Furness MA, Santhanakrishnan CK, Misreinnervation in leprous neuritis arfecting the facial nerve. Lepr Rev 1973, 43:151-158.
25. Rosenberg RN, Lovelace RE. Mononeuritis multiplex in lepromatous leprosy. Arch Neurol 1968, 19:310-314.
26. Sebille A, Gray F. Electromyographic recording and muscle biopsy in lepromatous leprosy. J Neurol Sci 1979, 40:3-10.
27. Sena PG. Electromographic and neurological aspects of leprosy: study of 100 cases. Arq Neuropsiquiatr 1976, 34:1-17.
28. Shefner JM, Buchtal F, Krarup C. Slowly conducting myelinated fibers in peripheral neuropathy. Muscle Nerve 1991, 14:534-542.
29. Sheskin J, Magora A, Sagher F. Motor conduction velocity studies in patients with leprosy reaction treated with thalidomide and other drugs. Internat J Leprosy 1969, 37:359-364.
30. Sohi AS, Kandhari KC, Singh N. Motor nerve conduction studies in leprosy. Internat J Dermatol 1971, 10:151-155.
31. Swift TR, Hackett ER, Shipley DE, Miner KM. The peroneal and tibial nerves in lepromatous leprosy: clinical and electrophysiologic observations. Internat J Leprosy Mycobact Dis 1973, 41:25-34.
32. Thiers H, Bouillat G, Bourrat C, Descos L. Electromographic study of two cases of neural leprosy observed in the Dermatology Clinic. J Med Lyon 1966, 47:1811-1813.
33. Verghese M, Ittimani KV, Satyanarayan KR, Mathai R, Bhakthaviziam C. A study of the conduction velocity of the motor fibers of ulnar and median nerves in leprosy. Internat J Leprosy Mycobact Dis 1970, 38:271-277.

Electrophysiologic studies in leprosy

Estudos eletrofisiológicos na hanseníase

Publication Dates

Publication in this collection
22 Feb 2011
Date of issue
Sept 1992

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

[1] 1. Antia NH, Divekar SC, Dastur DK. The facial nerve in leprosy: I. Clinical and operative aspects. Internal J Leprosy 1966, 34:103-117.

[2] 2. Antia NH, Mehta L, Shetty V, Irani PF. Clinical, electrophysiological, quantitative, histologic and ultrastructural studies of the index branch of the radial cutaneous nerve in leprosy: I. Preliminary report. Internat J Leprosy 1975, 43:106-113.

[3] 3. Antia NH, Pandya SS, Dastur DK. Nerves in the arm in leprosy. I. Clinical, electro-diagnostic and operative aspects. Internat J Leprosy. Mycobact Dis 1970, 38:12-29.

[4] 4. Baccareda-Boy A, Mastropaoli C, Pastorino P, Sacco G, Farris G. Electromyographic findings in leprosy. Internat J Leprosy 1963, 31:531-532.

[5] 5. Carayon A, Rigal J. Value of electrophysiological investigation for therapeutic indications in leprous neuritis. Med Trop (Mars) 1972, 32:9-21.

[6] 6. Chaco J, Magora A, Zauberman H, Landau Y. An electromyographic study of lagophthal-mos in leprosy. Internat J Leprosy Mycobact Dis 1968 36:288-295.

[7] 7. Dastur DK. Leprosy (an infectious and immunological disorder of the nervous system). In Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. Amsterdam: Elsevier/ North-Holland, 1978, Vol 33, p 421-468.

[8] 8. Dastur DK, Antia NH, Divekar SC. The facial nerve in leprosy: 2. Pathology, pathogenesis, electromyography and clinical correlations. Internat J Leprosy Mycobact Dis 1966, 34:118-138.

[9] 9. Dastur DK, Pandya SS, Antia NH. Nerves in the arm in leprosy: 2. Pathology, pathogenesis and clinical correlations. Internat J Leprosy 1970, 38:30-48.

[10] 10. DeFaria CR, Silva IM. Electromyographic diagnosis of leprosy. Arq Neuropsiquiatr 1990, 48:403-413.

[11] 11. Dhand UK, Kumar B, Dhand R, Chopra JS, Kaur S. Phrenic nerve conduction in leprosy. Internat J Leprosy Mycobact Dis 1988, 50:389-393.

[12] 12. Donde SV, Shah A, Antia NH. Nerve conduction in leprosy: in vivo and in vitro study. Lepr India 1983, 56:12-21.

[13] 13. Granger CV. Nerve conduction and correlative clinical studies in a patient with tuberculoid leprosy. Am J Phys Med 1966, 45:244-250.

[14] 14. Hackett ER, Shipley BE, Livengood R. Motor nerve conduction velocity studies of the ulnar nerve in patients with leprosy. Internat J Leprosy Mycobact Dis 1968, 36:282-287.

[15] 15. Haridasan G, Sanghvi SH, Joshi VM, Pandya SS, Desai AD. Quantitative electromyography using automatic analysis: diagnostic utility of turns per unit amplitude. J Neurol Sci 1980, 48:353-365.

[16] 16. Herskovits E, Chamoles N. Neuro-leprosy: value of electromyography. Arq Neuropsiquiatr 1971, 29:337-340.

[17] 17. Jopling WH, Morgan-Hughes JA. Pure neural tuberculoid leprosy. Br Med J 1965, 2:799-800.

[18] 18. Kandhari KC, Sehgal VN. Electromyographic studies in leprosy and dermatomyositis. Dermatol Internat 1965, 4:96-101.

[19] 19. Lewis S. Reproducibility of sensory testing and voluntary muscle testing in evaluating the treatment of acute neuritis in leprosy patients. Lepr Rev 1983, 54:23-30.

[20] 20. Magora A, Sagher F, Chaco J, Adler E. An electrodiagnostic study of the lower motor unit in leprosy. Internat J Lepr 1965, 33:829-864.

[21] 21. Mansour SE, Mehasen A, el-Ariny AF. Muscular changes in lepromatous leprosy. Trans R Soc Trop Med Hyg 1970, 64:918-920.

[22] 22. Ndiaye-Niang M, Diagne M, Ndiaye IP, Boucher P, Millan J. The value of electromyographic studies in leprosy. Acta Leprol 1986, 4:51-58.

[23] 23. Ranney DA. The prevalence and consequences of misreinnervation in facial neuritis. Internat J Leprosy Mycobact Dis 1974, 42:316-322.

[24] 24. Ranney DA, Furness MA, Santhanakrishnan CK, Misreinnervation in leprous neuritis arfecting the facial nerve. Lepr Rev 1973, 43:151-158.

[25] 25. Rosenberg RN, Lovelace RE. Mononeuritis multiplex in lepromatous leprosy. Arch Neurol 1968, 19:310-314.

[26] 26. Sebille A, Gray F. Electromyographic recording and muscle biopsy in lepromatous leprosy. J Neurol Sci 1979, 40:3-10.

[27] 27. Sena PG. Electromographic and neurological aspects of leprosy: study of 100 cases. Arq Neuropsiquiatr 1976, 34:1-17.

[28] 28. Shefner JM, Buchtal F, Krarup C. Slowly conducting myelinated fibers in peripheral neuropathy. Muscle Nerve 1991, 14:534-542.

[29] 29. Sheskin J, Magora A, Sagher F. Motor conduction velocity studies in patients with leprosy reaction treated with thalidomide and other drugs. Internat J Leprosy 1969, 37:359-364.

[30] 30. Sohi AS, Kandhari KC, Singh N. Motor nerve conduction studies in leprosy. Internat J Dermatol 1971, 10:151-155.

[31] 31. Swift TR, Hackett ER, Shipley DE, Miner KM. The peroneal and tibial nerves in lepromatous leprosy: clinical and electrophysiologic observations. Internat J Leprosy Mycobact Dis 1973, 41:25-34.

[32] 32. Thiers H, Bouillat G, Bourrat C, Descos L. Electromographic study of two cases of neural leprosy observed in the Dermatology Clinic. J Med Lyon 1966, 47:1811-1813.

[33] 33. Verghese M, Ittimani KV, Satyanarayan KR, Mathai R, Bhakthaviziam C. A study of the conduction velocity of the motor fibers of ulnar and median nerves in leprosy. Internat J Leprosy Mycobact Dis 1970, 38:271-277.