PDF(Pubmed)
Abstract：
UNASSIGNED: Carpal tunnel syndrome (CTS) is the most common type of entrapment neuropathy caused by compression of the median nerve in the carpal tunnel. Epilepsy is characterised by recurrent seizures caused by abnormal neuronal discharges in the brain.This study aimed to investigate whether there is a link between epilepsy and carpal tunnel and, if so, the underlying factors.
UNASSIGNED: Two hundred patients with epilepsy were included in this study. The patients\' history of epilepsy, seizure type, and seizure frequency were assessed. The Tinel, Phalen, and Flick physical examination tests were performed on patients with complaints that matched those of median nerve neuropathy. Patients with epilepsy and clinically diagnosed carpal tunnel syndrome completed the Boston Carpal Tunnel Syndrome Questionnaire, and nerve conduction studies were performed. The relationship between seizure type and frequency in patients with carpal tunnel syndrome was compared.
UNASSIGNED: Compared to focal-aware motor-onset seizures, the risk of detecting carpal tunnel syndrome was 88.7 times higher in focal-onset bilateral tonic-clonic seizures. Patients with a seizure frequency of one per month or more had a 0.704 times lower risk of CTS than those with a frequency of one per week or more (p = 0.026).
UNASSIGNED: Patients with epilepsy, especially those experiencing frequent seizures or specific seizure types, may be more susceptible to repetitive wrist flexion-extension postures. Therefore, during clinical follow-up, it is important to inquire about the presence of carpal tunnel syndrome in patients with epilepsy.
UNASSIGNED: Two hundred patients with epilepsy were included in this study. The patients\' history of epilepsy, seizure type, and seizure frequency were assessed. The Tinel, Phalen, and Flick physical examination tests were performed on patients with complaints that matched those of median nerve neuropathy. Patients with epilepsy and clinically diagnosed carpal tunnel syndrome completed the Boston Carpal Tunnel Syndrome Questionnaire, and nerve conduction studies were performed. The relationship between seizure type and frequency in patients with carpal tunnel syndrome was compared.
UNASSIGNED: Compared to focal-aware motor-onset seizures, the risk of detecting carpal tunnel syndrome was 88.7 times higher in focal-onset bilateral tonic-clonic seizures. Patients with a seizure frequency of one per month or more had a 0.704 times lower risk of CTS than those with a frequency of one per week or more (p = 0.026).
UNASSIGNED: Patients with epilepsy, especially those experiencing frequent seizures or specific seizure types, may be more susceptible to repetitive wrist flexion-extension postures. Therefore, during clinical follow-up, it is important to inquire about the presence of carpal tunnel syndrome in patients with epilepsy.
摘要：
■腕管综合征（CTS）是由腕管正中神经受压引起的最常见类型的压迫性神经病。癫痫的特征在于由脑中的异常神经元放电引起的复发性癫痫发作。这项研究旨在调查癫痫和腕管之间是否存在联系，如果是,潜在因素。
■两百名癫痫患者被纳入本研究。患者的癫痫病史，癫痫发作类型,和癫痫发作频率进行了评估。Tinel,Phalen,对主诉与正中神经病相匹配的患者进行了Flick体格检查。癫痫患者和临床诊断腕管综合征完成波士顿腕管综合征问卷，并进行神经传导研究。比较腕管综合征患者癫痫发作类型与发作频率的关系。
■与局灶性运动发作性癫痫相比，在局灶性发作的双侧强直阵挛性癫痫发作中,发现腕管综合征的风险高出88.7倍.癫痫发作频率为每月一次或更多的患者的CTS风险比每周一次或更多的患者低0.704倍（p=0.026）。
■癫痫患者，尤其是那些频繁发作或特定发作类型的人，可能更容易受到重复的手腕屈伸姿势的影响。因此,在临床随访期间，了解癫痫患者是否存在腕管综合征很重要。
■两百名癫痫患者被纳入本研究。患者的癫痫病史，癫痫发作类型,和癫痫发作频率进行了评估。Tinel,Phalen,对主诉与正中神经病相匹配的患者进行了Flick体格检查。癫痫患者和临床诊断腕管综合征完成波士顿腕管综合征问卷，并进行神经传导研究。比较腕管综合征患者癫痫发作类型与发作频率的关系。
■与局灶性运动发作性癫痫相比，在局灶性发作的双侧强直阵挛性癫痫发作中,发现腕管综合征的风险高出88.7倍.癫痫发作频率为每月一次或更多的患者的CTS风险比每周一次或更多的患者低0.704倍（p=0.026）。
■癫痫患者，尤其是那些频繁发作或特定发作类型的人，可能更容易受到重复的手腕屈伸姿势的影响。因此,在临床随访期间，了解癫痫患者是否存在腕管综合征很重要。
