Quantitative electrophysiological study of alcoholic neuropathy

Thirty-one chronic alcoholic patients were investigated using quantitative electrophysiological techniques. Estimates of the numbers of functioning motor units in the extensor digitorum brevis muscles and measurements of the parameters of the potentials of these units are presented along with the va...

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Veröffentlicht in:Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1980-05, Vol.43 (5), p.427-432
Hauptverfasser: Ballantyne, J P, Hansen, S, Weir, A, Whitehead, J R, Mullin, P J
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container_issue 5
container_start_page 427
container_title Journal of neurology, neurosurgery and psychiatry
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creator Ballantyne, J P
Hansen, S
Weir, A
Whitehead, J R
Mullin, P J
description Thirty-one chronic alcoholic patients were investigated using quantitative electrophysiological techniques. Estimates of the numbers of functioning motor units in the extensor digitorum brevis muscles and measurements of the parameters of the potentials of these units are presented along with the values for motor nerve conduction velocities in the innervating lateral popliteal nerves. Motor conduction velocities and sensory nerve action potential amplitudes were also measured in the ulnar nerves. The results and their inter-relationships lead us to conclude that the slowing of motor nerve conduction and reduction in sensory nerve action potential amplitudes in alcoholic neuropathy are a consequence of axon loss. We found no evidence of pathological slowing of conduction in surviving axons. Reinnervation by functioning motor axons is poor compared to a number of other neuropathic conditions. In our patients there was no evidence of preferential involvement of sensory axons. The results support a predominant axonal dysfunction in alcoholic neuropathy.
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subjects Action Potentials
Alcoholism - complications
Alcoholism - physiopathology
Axons - physiology
Electrophysiology
Evoked Potentials
Humans
Middle Aged
Motor Neurons - physiology
Muscles - innervation
Nerve Regeneration
Nervous System Diseases - etiology
Nervous System Diseases - physiopathology
Neural Conduction
Reaction Time
Ulnar Nerve - physiopathology
title Quantitative electrophysiological study of alcoholic neuropathy
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