Effects of the contact heat evoked potential in evaluating the small fiber impairment of diabetic neuropathy
- VernacularTitle:接触性热痛诱发电位对糖尿病小纤维神经病变的评价作用
- Author:
Zhecheng ZHANG
;
Na LIU
;
Guoping XING
;
Bin LI
- Publication Type:Journal Article
- Keywords:
Diabetic neuropathies;
Nerve fibers;
Evoked potentials,somatosensory;
Nerve conduction
- From:
Chinese Journal of Neurology
2008;41(10):653-656
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate a non-invasive and objective measure for patients with diabetic small fiber neuropathy by contact heat evoked potential (CHEP). Methods CHEP was performed in diabetic patients (n=46) and normal subjects (n =40). Thermal stimuli were given at 52 ℃ to 3 body sites: right forearm, right dersum hand and right peroneal area. CHEP were recorded from Cz. The main components of CHEP were observed. Studies on sensory nerve conduction were performed in all the diabetic patients and the normal subjects. Results In 7 patients there were no recordable CHEP on stimulation of the forearm, and in some cases of dorsum hand (n =9) and the leg (n = 16). In contrast, CHEP were recordable in all control subjects. The diabetic group had reduced N-P amplitudes and prolonged N-wave latencies. In patients with normal sensory nerve conductions, amplitudes of CHEP were reduced and latencies of CHEP were prolonged. Twenty-five patients had normal sensory nerve conduction for upper limbs, the amplitudes of CHEP being (34.0±12.6) μV vs (48.4±17.5)μN, Z= -3. 151, P<0.01 for the forearm, (28.2±10. 1) μV vs (43.0±16.6) μV, Z= -3.712, P<0.01 for the dersum hand with a latency of (420.4±27.8) ms vs (407.2±24.6) ms, t =2.015,P=0.048. In 18 patients with normal sensory nerve conductions for lower limbs, the latency of CHEP for the leg was (473.5±46. 6) ms vs (448.6±35.0) ms, t =2. 219 (P =0. 031) and amplitudes (23. 8±7.4) μV vs (41.5 ±18.5) μV, Z = - 3. 855 (P <0.01). Conclusion CHEP provides an objective and non-invasive potential clinical utility in the evaluation of diabetic small fiber neuropathy.
