The Effect of Single Hemodialysis to Nerve Conduction in Patients with Chronic Renal Insufficiency

J Korean Neurol Assoc > Volume 1(1); 1983 > Article

Journal of the Korean Neurological Association 1983;1(1): 69-75.

만성 신부전 환자에 있어서 1회 투석이 신경전도에 미치는 영향

최신영, 김남오, 박해일, 원대식 박규현, 김상욱

부산메리놀병원 내과, 신경내과.

The Effect of Single Hemodialysis to Nerve Conduction in Patients with Chronic Renal Insufficiency

Shin-Young Choi, M.D., Nam-O Kim, M.D., Hae-Il Park, M.D., Shin-Young Choi, M.D., Nam-O Kim, M.D., Hae-Il Park, M.D., Dae-Sik Won,M.D., Kyue-Hyun Park, M.D., Sang-Wook Kim, M.D.

Department of Neurology, and Internal Medicine Pusan Merinol Hospital

Abstract

We studied 16 uremic out-patients in terms of motor nerve conduction velocity (MNCV) and sensory latency, who had ungergone hemodialysis regularly at Maryknoll Hospital, Busan for 5 months, from Dec. 1982 to Apr. 1983. We checked, before and after single hemodialysis, MNCV of median, ulnar, peroneal, and posterior tibial nerves along with sensory lateny of median and ulnar nerves. We got the following as a result. 1. MNCV, before and after hemodialysis, was 47.2 + 4.6 m/sec to 50.0+2.6 m/sec (p 0.05) in median nerve, 50.0 + 4.5 m/sec to 52.4 +3.2 m/sec (p 0.05) in ulnar nerve, 43.0 + 5.4 m/sec to 41.1 + 4.2 m/sec (statistically not significant) in peroneal nerve, and 41.5 + 4.8 m/sec to 43.8 +3.9 m/sec (statistically not significant) in posterior tibial nerve. It was pointed out that MNCV in particular of median and ulnar nerves increased. 2. Sensory latency, before and after hemodialysis, was 4.5+0.6 m/sec to 3.9+0.4 m/sec (p 0.05) in median nerve and 4.7 +0.9 m/sec to 4.0 + 0.3 m/sec (p 0.01) in ulnar nerve. This showed that sensory latency of median and ulnar nerves decreased significantly. 3. The serum concentration of BUN and creatinine, before and after hemodialysis, was, on an average, 97.8 + 18.2 mg/dl (50.7-136.7) to 34.4 + 9.5 mg/dl (7.9-20.1 mg/dl) and 14.8 + 3.2 mg/dl (7.7-20.1 mg/dl) to 6.2 + 1.7 mg/dl (2.4-8.6mg/dl) in each. This showed marked decreased after hemodialysis in serum concentration but meant no correlation with MNCV and sensory latency