Thermal threshold determination in alcoholic polyneuropathy: an improvement of diagnosis.

Abstract:

:Reports on the incidence of alcoholic polyneuropathies are variable depending on diagnostic tools. In this study, 50 chronic alcoholics with positive MALT (Munich Alcoholism Test) and greater than seven years history of excessive alcohol abuse were examined neurologically. Tibial and peroneal motor and sural nerve conduction velocities (NCV) were studied. Warm and cold perception was evaluated in the area behind the internal malleolus using a Somedic-Thermotest. Thresholds were determined by the method of limits. The effect of a slow, medium and fast temperature change rate on thermal perception was tested. Thirty-eight patients (76%) showed signs of neuropathy. Thermal perception was more often abnormal (62%) than NCV (42%) and clinical examination (56%). A medium temperature change rate of 2.0-2.5 degrees C/s was the most sensitive index of small fiber neuropathy. Thermal threshold measurement proved to be a reliable, sensitive and easy to perform method that should become standard in the examination of polyneuropathies.

journal_name

Acta Neurol Scand

authors

Hilz MJ,Zimmermann P,Claus D,Neundörfer B

doi

10.1111/j.1600-0404.1995.tb07026.x

subject

Has Abstract

pub_date

1995-05-01 00:00:00

pages

389-93

issue

5

eissn

0001-6314

issn

1600-0404

journal_volume

91

pub_type

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