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Electrophysiologic features of fibular neuropathy in childhood and adolescence
Author(s) -
Karakis Ioannis,
Khoshnoodi Mohammad,
Liew Wendy,
Nguyen Elizabeth S.,
Jones H. Royden,
Darras Basil T.,
Kang Peter B.
Publication year - 2017
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.25403
Subject(s) - medicine , electrodiagnosis , pediatrics , physical medicine and rehabilitation , electromyography , audiology
We studied patterns of nerve injury in pediatric common fibular (peroneal) neuropathy (CFN). Methods: A retrospective analysis was performed on data from 53 children with CFN at a pediatric electromyography laboratory. Results: Conduction block at the fibular head was present in 35% of patients. Deep fibular axonal loss was identified in 77%, while superficial fibular axonal loss was identified in 45%. The pathophysiology was predominantly axonal in 72%, mostly demyelinating in 6%, and mixed in 22%. Predominantly demyelinating lesions at the fibular head demonstrated sparing of the superficial fibular sensory nerve ( P = 0.01, Fischer exact test). Predominantly axonal lesions had a moderate correlation between superficial and deep fibular axonal loss (Spearman r = 0.52; P = 0.0001). Conclusions: There is frequent axonal and fascicular injury in pediatric CFN, similar to adults. Deep and superficial fibular nerve involvements correlate in axonal lesions, whereas superficial fibular sensory fibers are often spared in demyelinating lesions. Muscle Nerve , 2016 Muscle Nerve 55: 693–697, 2017