Yıl: 2021 Cilt: 27 Sayı: 3 Sayfa Aralığı: 306 - 310 Metin Dili: İngilizce DOI: 10.4274/tnd.2021.54522 İndeks Tarihi: 12-01-2022

The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities

Öz:
Objective: Parkinson’s disease (PD) is one of the common neurodegenerative disorders in the community. Compressive neuropathy (CN) is one of the conditions that negatively affect workforce and decreases the quality of life. We aimed to investigate the effect of repetitive mechanical movement on tremor dominant (TD) or akinetic-rigid syndrome (ARS) PD and CNs, particularly, the relationship between CN and two types of PD. In addition, we aimed to evaluate the relationship between CNs and the affected side at the onset and during the disease in both types of PD. Materials and Methods: Patients with PD who presented to our clinic from October 2017 to September 2018 were enrolled in the study. All patients who underwent electromyography to investigate CN were included in the study. The Padua classification was used in the carpal tunnel and cubital tunnel syndrome and electrophysiological findings were classified according to age and gender. According to the disease duration, patients were compared within the two groups as less than 3 years and ≥3 years. Patients were examined in two groups according to the TD and ARS type of PD and initially affected side. Results: A total of 71 patients suffering from PD were enrolled in the study, wherein 57 (80.3%) were TD, and 14 were (19.7%) ARS. An increased risk of developing carpal tunnel syndrome (CaTS) was found in the TD group with a disease duration of ≥3 years (p=0.026). Conclusion: No relationship was found between the two different types of PD or the affected side and the type of CN. However, the risk of CaTS increased in TD PD over the 3 years.
Anahtar Kelime:

Parkinson Hastalığı Tipi ile Üst Ekstremite Tuzak Nöropatisi Arasındaki İlişkinin Araştırılması

Öz:
Amaç: Parkinson hastalığı (PH) toplumda sık görülen nörodejeneratif hastalıklardan biridir. Tuzak nöropatiler (CN) ise iş gücünü olumsuz etkileyen ve yaşam kalitesini düşüren hastalıklardır. Bu çalışmada tremor gibi tekrarlayan mekanik hareketin, tremor baskın (TD) veya akinetik-rijit (ARS) PH tipinde ve CN üzerindeki etkisini araştırmayı amaçladık. Başka bir deyişle, CN ile iki tip PH arasındaki ilişkiyi incelemek istedik. Bununla beraber her iki PH tipinde, hastalığın başlangıcında ve hastalık sırasında etkilenen vücut tarafı ile CN’ler arasındaki ilişkiyi değerlendirdik. Gereç ve Yöntem: Ekim 2017 ile Eylül 2018 arasında PH tanısı olan hastalar çalışmaya dahil edildi. Yaş ve cinsiyete göre sınıflandırılan karpal tünel ve kübital tünel sendromu elektrofizyolojik bulgularında Padua sınıflandırması kullanıldı. Tüm olgular, hastalık süresine göre üç yıl ve altında ve üç yıl üzeri olarak iki grup şeklinde incelendi. Olgular PH’nin TD ve ARS tipine göre ve hastalığın ilk tutulum tarafına göre iki grup olarak değerlendirildi. Bulgular: Toplam 71 PH çalışmaya dahil edildi. Hastaların 57’si (%80,3) TD ve 14’ü (%19,7) ARS idi. Üç yıl ve üzeri dönemde TD hasta grubunda karpal tünel sendromu (CaTS) gelişme riskinde artış saptandı (p=0,026). Sonuç: PH’nin iki farklı tipi veya etkilenen vücut tarafı ile CN’nin tipi arasında bir ilişki saptanmadı. Ancak, üç yıl ve üzeri süreçte tremor dominant PH’de CaTS riski artmıştır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Massano J, Bhatia KP. Clinical approach to Parkinson’s disease: features, diagnosis, and principles of management. Cold Spring Harb Perspect Med 2012;2:a008870.
  • 2. Nutt JG, Wooten GF. Diagnosis and initial management of Parkinson’s disease. N Engl J Med 2005;353:1021-1027.
  • 3. Zhang J, Wei L, Hu X, et al. Akinetic-rigid and tremor-dominant Parkinson’s disease patients show different patterns of intrinsic brain activity. Parkinsonism Relat Disord 2015;21:23-30.
  • 4. Tapadia M, Mozaffar T, Gupta R. Compressive neuropathies of the upper extremity: update on pathophysiology, classification, and electrodiagnostic findings. J Hand Surg Am 2010;35:668-677.
  • 5. Assmus H, Antoniadis G, Bischoff C. Carpal and cubital tunnel and other, rarer nerve compression syndromes. Dtsch Arztebl Int 2015;112:14-26.
  • 6. Anouti A, Koller WC. Tremor disorders. Diagnosis and management. West J Med 1995;162:510-513.
  • 7. Padua L, LoMonaco M, Gregori B, et al. Neurophysiological classification and sensitivity in 500 carpal tunnel syndrome hands. Acta Neurol Scand 1997;96:211-217.
  • 8. Loizon M, Laurencin C, Vial C, Danaila T, Thobois S. High incidence of carpal tunnel syndrome after deep brain stimulation in Parkinson’s disease. J Neurol 2016;263:2416-2418.
  • 9. Mengi-Ozsarac G. Carpal tunnel syndrome in Parkinson’s disease. Eur J Radiol 2008;67:550.
  • 10. Yucel A, Yilmaz O, Babaoglu S, Acar M, Degirmenci B. Sonographic findings of the median nerve and prevalence of carpal tunnel syndrome in patients with Parkinson’s disease. Eur J Radiol 2008;67:546-550.
  • 11. Alanazy MH. Clinical and electrophysiological evaluation of carpal tunnel syndrome: approach and pitfalls. Neurosciences (Riyadh) 2017;22:169-180.
  • 12. Yardimci N, Cemeroglu O, Ozturk E, et al. Median and Ulnar neuropathy assessment in parkinson’s disease regarding symptom severity and asymmetry. Parkinsons Dis 2016;2016:4958068.
  • 13. Han SW, Cheon KY, Kim JY, Baik JS. Carpal tunnel syndrome in patients with tremor dominant Parkinson’s disease. PLoS One 2015;10:e0130779.
  • 14. Zis P, Grunewald RA, Chaudhuri RK, Hadjivassiliou M. Peripheral neuropathy in idiopathic Parkinson’s disease: A systematic review. J Neurol Sci 2017;15;378:204-209.
APA ŞENGEZE N, Özşimşek A, KOYUNCUOGLU H, Taşkıran E (2021). The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. , 306 - 310. 10.4274/tnd.2021.54522
Chicago ŞENGEZE Nihat,Özşimşek Ahmet,KOYUNCUOGLU Hasan Rifat,Taşkıran Esra The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. (2021): 306 - 310. 10.4274/tnd.2021.54522
MLA ŞENGEZE Nihat,Özşimşek Ahmet,KOYUNCUOGLU Hasan Rifat,Taşkıran Esra The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. , 2021, ss.306 - 310. 10.4274/tnd.2021.54522
AMA ŞENGEZE N,Özşimşek A,KOYUNCUOGLU H,Taşkıran E The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. . 2021; 306 - 310. 10.4274/tnd.2021.54522
Vancouver ŞENGEZE N,Özşimşek A,KOYUNCUOGLU H,Taşkıran E The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. . 2021; 306 - 310. 10.4274/tnd.2021.54522
IEEE ŞENGEZE N,Özşimşek A,KOYUNCUOGLU H,Taşkıran E "The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities." , ss.306 - 310, 2021. 10.4274/tnd.2021.54522
ISNAD ŞENGEZE, Nihat vd. "The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities". (2021), 306-310. https://doi.org/10.4274/tnd.2021.54522
APA ŞENGEZE N, Özşimşek A, KOYUNCUOGLU H, Taşkıran E (2021). The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. Türk Nöroloji Dergisi, 27(3), 306 - 310. 10.4274/tnd.2021.54522
Chicago ŞENGEZE Nihat,Özşimşek Ahmet,KOYUNCUOGLU Hasan Rifat,Taşkıran Esra The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. Türk Nöroloji Dergisi 27, no.3 (2021): 306 - 310. 10.4274/tnd.2021.54522
MLA ŞENGEZE Nihat,Özşimşek Ahmet,KOYUNCUOGLU Hasan Rifat,Taşkıran Esra The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. Türk Nöroloji Dergisi, vol.27, no.3, 2021, ss.306 - 310. 10.4274/tnd.2021.54522
AMA ŞENGEZE N,Özşimşek A,KOYUNCUOGLU H,Taşkıran E The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. Türk Nöroloji Dergisi. 2021; 27(3): 306 - 310. 10.4274/tnd.2021.54522
Vancouver ŞENGEZE N,Özşimşek A,KOYUNCUOGLU H,Taşkıran E The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities. Türk Nöroloji Dergisi. 2021; 27(3): 306 - 310. 10.4274/tnd.2021.54522
IEEE ŞENGEZE N,Özşimşek A,KOYUNCUOGLU H,Taşkıran E "The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities." Türk Nöroloji Dergisi, 27, ss.306 - 310, 2021. 10.4274/tnd.2021.54522
ISNAD ŞENGEZE, Nihat vd. "The Relationship Between the Type of Parkinson’s Disease and Entrapment Neuropathy in the Upper Extremities". Türk Nöroloji Dergisi 27/3 (2021), 306-310. https://doi.org/10.4274/tnd.2021.54522