Spectrum of neurological complications in chikungunya fever: experience at a tertiary care centre and review of literature

2019 ◽  
Vol 49 (2) ◽  
pp. 79-84 ◽  
Author(s):  
Kuljeet Singh Anand ◽  
Arun Kumar Agrawal ◽  
Jyoti Garg ◽  
Rajinder K Dhamija ◽  
Rakesh Kumar Mahajan
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tertiary Care ◽  
The Elderly ◽  
Acute Disseminated Encephalomyelitis ◽  
Neurological Complications ◽  
Review Of Literature ◽  
Tertiary Care Centre ◽  
Tunnel Syndrome ◽  
Age Range

Chikungunya (CHIK) has re-emerged as a potential neurotropic virus, with outbreaks recently being reported from many parts of India. The present study was conducted to study the spectrum and outcome of neurological complications in patients of CHIK during the 2016 outbreak in Delhi. A total of 42 cases seropositive for IgM CHIK antibodies by MAC-ELISA and developing neurological complications were enrolled. The male:female ratio was 1:2 (age range = 18–90 years). The neurological manifestations observed were encephalitis (n = 12), bulbar palsy (n = 3), acute disseminated encephalomyelitis (n = 1), cerebellitis (n = 1), myelopathy (n = 1), radiculoneuropathy (n = 3), carpal tunnel syndrome (n = 9) and tremors (n = 1). Ten patients reported worsening of pre-existing neuropathic symptoms of diabetic peripheral neuropathy (n = 4) and carpal tunnel syndrome (n = 6). One patient had aggravation of myasthenia gravis leading to respiratory failure. The majority of patients (n = 32) showed a good outcome; ten had a poor prognosis, out of which four died, all from the encephalitis group, particularly the elderly with co-morbidities.

Radiographic Predictors of Delayed Carpal Tunnel Syndrome After Distal Radius Fracture in the Elderly

Hand ◽  
2020 ◽  
pp. 155894472096387
Author(s):  
Kevin H. Kim ◽  
Bryan Duell ◽  
Swapna Munnangi ◽  
Mitchell Long ◽  
Elizabeth Morrison
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Carpal Tunnel Syndrome ◽  
Distal Radius Fracture ◽  
Carpal Tunnel ◽  
Nonoperative Management ◽  
Significant Risk ◽  
The Elderly ◽  
Control Group ◽  
Tunnel Syndrome

Background Delayed-onset carpal tunnel syndrome (DCTS) can develop weeks and months after distal radius fracture (DRFx). A better understanding of the risk factors of DCTS can guide surgeon’s decision making regarding the management of DRFx and also provides another discussion point to be had with elderly patients when discussing outcomes of nonoperative management. Methods We reviewed 216 nonoperatively managed DRFx between June 2015 and January 2019 at a single level 1 trauma center and senior author’s office. We identified 26 patients who developed DCTS at a minimum of 6 weeks after DRFx, which constituted our case group. The remaining 190 patients served as the control group (non–carpal tunnel syndrome [CTS]). Differences between case and control group were evaluated through univariate and multivariate analyses. Results The prevalence of DCTS among nonoperatively managed DRFx was 12%. In univariate analysis, volar tilt (VT) and teardrop angle (TDA) were significant independent predictors of development of DCTS. Multivariate logistic regression analysis determined that the odds of developing CTS increased by 12% and 24% for each degree of decrease in VT and TDA, respectively. No other significant risk factors were identified. Conclusions Decreasing VT and TDA are the most significant risk factors associated with DCTS in nonoperatively managed DRFx. These are simple and reliable radiographic measurements that provide significant prognostic value. These parameters can be used to guide surgeon decision making regarding management of DRFx in the elderly while aiding patient expectations and outcomes following nonoperative management of DRFx.

scholarly journals Carpal tunnel syndrome in the elderly: nerve conduction parameters

2010 ◽  
Vol 68 (1) ◽  
pp. 87-92 ◽  
Author(s):  
Thiago Guimarães Naves ◽  
João Aris Kouyoumdjian
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Motor Nerve ◽  
The Elderly ◽  
Nerve Conduction Studies ◽  
Motor Nerve Conduction ◽  
Latency Difference ◽  
Upper Limits ◽  
Tunnel Syndrome

OBJECTIVE: To establish nerve conduction parameters for carpal tunnel syndrome (CTS) electrodiagnosis in the elderly. METHOD: Thirty healthy subjects (65-86 years), 9 male and 21 female, were studied. Routine median and ulnar sensory and motor nerve conduction studies, median mixed palmar latency, comparative latency techniques median to ulnar (sensory, mixed and motor lumbrical-interossei), median to radial (sensory), and combined sensory index (CSI) were performed in both hands. RESULTS: The upper limits of normality (97.5%) were: median sensory distal latency 3.80 ms (14 cm); median motor distal latency 4.30 ms (8 cm); median palmar latency 2.45 ms (8 cm); lumbrical-interossei latency difference 0.60 ms (8 cm); comparative median to radial 0.95 ms (10 cm); comparative median to ulnar 0.95 ms (14 cm); comparative palmar median to ulnar 0.50 ms (8 cm); and CSI 2.20 ms. Sensory and mixed latencies were measured at peak. CONCLUSION: Our results establish new nerve conduction parameters for mild CTS electrodiagnosis in the elderly and will be helpful to reduce the number of false positive cases in this age.

P-NE003. Frequency of carpal tunnel syndrome in patients having diabetes mellitus with neuropathy in a tertiary care hospital

2021 ◽  
Vol 132 (8) ◽  
pp. e89
Author(s):  
Md. Rashedul Islam ◽  
Tanbin Rahman ◽  
Rafi Nazrul Islam ◽  
Rumana Habib ◽  
Aminur Rahman ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Tunnel Syndrome

scholarly journals PERANCANGAN ALAT BANTU MEMBILAS PAKAIAN DENGAN PENDEKATAN DESAIN INKLUSIF UNTUK MENGURANGI RISIKO CARPAL TUNNEL SYNDROME

2020 ◽  
Vol 3 (2) ◽  
pp. 163-171
Author(s):  
Gabriella Nadya Anggia ◽  
Winta Adhitia Guspara ◽  
Christmastuti Nur
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Case Studies ◽  
Design Process ◽  
Carpal Tunnel ◽  
High Intensity ◽  
The Elderly ◽  
Inclusive Design ◽  
Is Research ◽  
Tunnel Syndrome ◽  
Research And Design

Title: Design of Rinsing Clothes Tools with Inclusive Design Approach to Reduce Carpal Tunnel Syndrome Risk Based on case studies at Panti Wreda Perandan Padudan, Gondokusuman, Yogyakarta, the fact that the clothes that are washed by the elderly is not completely clean. One clean indicator of the laundry is seen from the absence of detergent foam that makes the water become cloudy when rinsing clothes. Manual rinsing process requires the work of both hands that seek friction and pressure (i.e. to rubben) so that the soap water contained in the fabric can come out. The movement of the evaporating on rinsing has a tendency to inflict numbness even pain (i.e. carpal tunnel syndrome) if done at high intensity. The condition can deteriorate in long-lasting routines in the elderly. In the process of cassing, the elderly have limited hand grips in conducting activities that are made repeatedly. With this problem, it is necessary to design the tools to rinse the clothes so as to minimize the foam attached to the clothes until the result of a cleaner laundry and can reduce the risk of carpal tunnel syndrome. The design of this product utilizes a two-stage inclusion approach, which is research and design designing. The research phase uses ergonomics- based methods with observation and interview techniques. The design process that was used after obtaining the designs statement was SCAMPER. Through this method, the tool is produced to rinse the laundry cleaner without experiencing the pain in the hands.

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