Constitutional risk factors for focal neuropathies in patients referred for electromyography

: Martinez-Aparicio C, Jaaskelainen SK, Puksa L, Reche-Lorite F, Torne-Poyatos P, Soto JP, Falck B

Publisher: WILEY

: 2019

: European Journal of Neurology

: EUROPEAN JOURNAL OF NEUROLOGY

: EUR J NEUROL

: 27

: 3

: 529

: 535

: 7

: 1351-5101

: 1468-1331

DOI: https://doi.org/10.1111/ene.14118(external)

Background and purpose It is well established that patient-related constitutional features predispose to focal peripheral neuropathies. Some of these risk factors were investigated in common focal neuropathies encountered in patients referred for electromyography. Methods Gender, age, height and body mass index (BMI) were analysed retrospectively as risk factors for 11 focal neuropathies. In all, 9686 patients (age range 18-96 years; 58% women) were included from three different centres, with identical methods and equipment. Results High BMI was related to carpal tunnel syndrome (CTS), ulnar neuropathy at the elbow (UNE), combined CTS and UNE, meralgia paraesthetica and lumbar radiculopathy. In women, CTS and Morton's metatarsalgia were more common, whilst long thoracic neuropathies, suprascapular neuropathies and UNE were more common in men. Older age increased the risk for CTS, UNE, Morton's metatarsalgia and radiculopathies. Conclusions Age, gender and BMI are important risk factors for many common focal neuropathies.