Clinical and prognostic features in unilateral femoral neuropathies

Détails

ID Serval
serval:BIB_6AEF9EB9E0A9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Clinical and prognostic features in unilateral femoral neuropathies
Périodique
Muscle and Nerve
Auteur⸱e⸱s
Kuntzer  T., van Melle  G., Regli  F.
ISSN
0148-639X (Print)
Statut éditorial
Publié
Date de publication
02/1997
Peer-reviewed
Oui
Volume
20
Numéro
2
Pages
205-11
Notes
Journal Article --- Old month value: Feb
Résumé
We have examined the clinical features of patients with femoral neuropathy and the factors that influence the prognosis. Of 80 consecutive patients referred for neurophysiological evaluations of proximal lower limb weakness, 32 fulfilled strict inclusion criteria and had adequate information, including estimates of axon loss (AxL) by stimulation of the bilateral femoral nerve. In 31, the Kaplan-Meier method was used to describe the time course of the outcome, while logistic regression was employed to determine the contributing factors. Excellent, satisfactory, and poor outcomes were seen in 10 (31%), 11 (34%), and 10 (31%) patients, respectively. Logistic regression analysis of seven factors demonstrated that the estimate of AxL was the only significant variable. The best prognostic factor was an estimate of AxL < or = 50%, with all patients fulfilling this criterion showing improvement with 1 year; fewer than half the patients with AxL > 50% should be expected to improve. This study clearly shows that, irrespective of the cause of femoral neuropathy, functional improvement is seen in 2 out of 3 patients within 2 years and that the estimate of AxL is the only factor influencing prognosis.
Mots-clé
Adult Age Distribution Aged Aged, 80 and over Data Interpretation, Statistical Disease Progression Evoked Potentials, Motor Female Femoral Nerve/*physiopathology Follow-Up Studies Hip Fractures/complications Humans Male Middle Aged Peripheral Nervous System Diseases/*diagnosis/etiology Prognosis Retrospective Studies Sex Distribution
Pubmed
Web of science
Création de la notice
25/01/2008 12:43
Dernière modification de la notice
20/08/2019 14:25
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