Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos
INTRODUCTION: Pelvic pain of neurogenic origin is characterized by paresthesia in the inguinal or upper pubic region, and includes mechanical damage to the iliohypogastric, ilioinguinal and genitofemoral nerves, within its etiology, during pelvic or gynecological surgery. Electrodiagnostic tests bec...
- Autores:
-
Hidalgo Paz, Mónica Lorena
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2020
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/79155
- Acceso en línea:
- https://repositorio.unal.edu.co/handle/unal/79155
- Palabra clave:
- 610 - Medicina y salud
Neuralgia inguinal
Atrapamiento del nervio iliohipogástrico
Inguinodinia neuropática
Potenciales evocados somatosensoriales
Inguinal neuralgia
Iliohypogastric nerve entrapment
Neuropathic inguinodynia
Somatosensory evoked potentials
- Rights
- openAccess
- License
- Atribución-NoComercial-SinDerivadas 4.0 Internacional
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Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos |
| title |
Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos |
| spellingShingle |
Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos 610 - Medicina y salud Neuralgia inguinal Atrapamiento del nervio iliohipogástrico Inguinodinia neuropática Potenciales evocados somatosensoriales Inguinal neuralgia Iliohypogastric nerve entrapment Neuropathic inguinodynia Somatosensory evoked potentials |
| title_short |
Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos |
| title_full |
Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos |
| title_fullStr |
Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos |
| title_full_unstemmed |
Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos |
| title_sort |
Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos |
| dc.creator.fl_str_mv |
Hidalgo Paz, Mónica Lorena |
| dc.contributor.advisor.spa.fl_str_mv |
Mendoza Pulido, Juan Camilo |
| dc.contributor.author.spa.fl_str_mv |
Hidalgo Paz, Mónica Lorena |
| dc.subject.ddc.spa.fl_str_mv |
610 - Medicina y salud |
| topic |
610 - Medicina y salud Neuralgia inguinal Atrapamiento del nervio iliohipogástrico Inguinodinia neuropática Potenciales evocados somatosensoriales Inguinal neuralgia Iliohypogastric nerve entrapment Neuropathic inguinodynia Somatosensory evoked potentials |
| dc.subject.proposal.spa.fl_str_mv |
Neuralgia inguinal Atrapamiento del nervio iliohipogástrico Inguinodinia neuropática Potenciales evocados somatosensoriales |
| dc.subject.proposal.eng.fl_str_mv |
Inguinal neuralgia Iliohypogastric nerve entrapment Neuropathic inguinodynia Somatosensory evoked potentials |
| description |
INTRODUCTION: Pelvic pain of neurogenic origin is characterized by paresthesia in the inguinal or upper pubic region, and includes mechanical damage to the iliohypogastric, ilioinguinal and genitofemoral nerves, within its etiology, during pelvic or gynecological surgery. Electrodiagnostic tests become a very useful tool in diagnosis, whose reference values have not been studied quantitatively in our environment. OBJECTIVE: To present the reference values of the somatosensory evoked potentials of the iliohypogastric nerve, by means of a linear regression analysis, taking into account the anthropometric and electrodiagnostic variables obtained. METHODS: Using a prospective methodology, participants were recruited without suspicion or prior diagnosis of neuropathy or abdominopelvic surgery. For each individual, the somatosensory evoked potential of the iliohypogastric nerve was acquired, recording the latencies P1, N1 and amplitude of the right and left side, and the latencies P37 and N45 of the right posterior tibial nerve. A multiple linear regression model was used with the selected predictors. RESULTS: A P1 latency prediction model was designed with the selected variables. For this model, it was not possible to reject the hypothesis of a slope different from 0 for the variables sex, height, and P37 latency, for which reason another model was created to predict N1 latency with the selected variables. The mean difference N1 minus P1 was then evaluated and a 95% confidence interval was constructed. These values were 9.36ms ± 0.621ms. That is, from the prediction of latency N1, it is possible to estimate latency P1 by subtracting a constant value. CONCLUSION: The establishment of normative values of the somatosensory evoked potentials of the iliohypogastric nerve are useful during the clinical evaluation of patients in whom pelvic pain of neurogenic origin is studied. |
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2020 |
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2020-01-10 |
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2021-02-09T15:14:41Z |
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2021-02-09T15:14:41Z |
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Artículo de revista |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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Hidalgo Paz, M. L. (2020). Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos [Tesis de maestría, Universidad Nacional de Colombia]. Repositorio Institucional. |
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https://repositorio.unal.edu.co/handle/unal/79155 |
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Hidalgo Paz, M. L. (2020). Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos [Tesis de maestría, Universidad Nacional de Colombia]. Repositorio Institucional. |
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https://repositorio.unal.edu.co/handle/unal/79155 |
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spa |
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spa |
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American Clinical Neurophysiology Society. (2006). Guideline 9A: guidelines on evoked potentials. American Journal of Electroneurodiagnostic Technology, 46(3), 240–253. Doria-Lamba, L., Montaldi, L., Grosso, P., Veneselli, E., & Giribaldi, G. (2009). Short latency evoked somatosensory potentials after stimulation of the median nerve in children: normative data. Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society, 26(3), 176–182. Drake, R. (2010). Gray ́s anatomia para estudantes 2a edição. Elsevier Brasil. Dubin, A. (2018). Elucidating the Cause of Pelvic Pain. Physical Medicine and Rehabilitation Clinics of North America, 29(4), 777–782. Elkins, N., Hunt, J., & Scott, K. M. (2017). Neurogenic Pelvic Pain. Physical Medicine and Rehabilitation Clinics of North America, 28(3), 551–569. Khatri, G., Khan, A., Raval, G., & Chhabra, A. (2017). Diagnostic Evaluation of Chronic Pelvic Pain. Physical Medicine and Rehabilitation Clinics of North America, 28(3), 477–500. Labat, J.-J., -J. Labat, J., Delavierre, D., Sibert, L., & Rigaud, J. (2010). Explorations électrophysiologiques des douleurs pelvipérinéales chroniques. In Progrès en Urologie (Vol. 20, Issue 12, pp. 905–910). https://doi.org/10.1016/j.purol.2010.08.061 Loos, M. J. A., Scheltinga, M. R. M., & Roumen, R. M. H. (2008). Surgical management of inguinal neuralgia after a low transverse Pfannenstiel incision. Annals of Surgery, 248(5), 880–885. Miura, T., Sonoo, M., & Shimizu, T. (2003). Establishment of standard values for the latency, interval and amplitude parameters of tibial nerve somatosensory evoked potentials (SEPs). Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology, 114(7), 1367–1378. Narita, M., Jikihara, S., Hata, H., Matsusue, R., Yamaguchi, T., Otani, T., & Ikai, I. (2017). Surgical experience of laparoscopic retroperitoneal triple neurectomy for a patient with chronic neuropathic inguinodynia. International Journal of Surgery Case Reports, 40, 80–84. Palumbo, P., Minicucci, A., Nasti, A. G., Simonelli, I., Vietri, F., & Angelici, A. M. (2007). Treatment for persistent chronic neuralgia after inguinal hernioplasty. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 11(6), 527–531 Poornima, S., Ali, S. S., Balaji, P. A., Shankar, V., & Kutty, K. (2013). Median nerve somatosensory evoked potentials in medical students: Normative data. Advanced Biomedical Research, 2, 56. Pró, E. A. (2013). Anatoma Clnica / Clinical Anatomy. Reinpold, W., Schroeder, A. D., Schroeder, M., Berger, C., Rohr, M., & Wehrenberg, U. (2015). Retroperitoneal anatomy of the iliohypogastric, ilioinguinal, genitofemoral, and lateral femoral cutaneous nerve: consequences for prevention and treatment of chronic inguinodynia. In Hernia (Vol. 19, Issue 4, pp. 539–548). https://doi.org/10.1007/s10029-015-1396-z Shadhu, K., Ramlagun, D., Chen, S., & Liu, L. (2018). Neuralgia due to iliohypogastric nerve injury after inguinal hernioplasty: a case report. BMC Surgery, 18(1), 59. Shin, J. H., & Howard, F. M. (2012). Abdominal wall nerve injury during laparoscopic gynecologic surgery: incidence, risk factors, and treatment outcomes. Journal of Minimally Invasive Gynecology, 19(4), 448–453. Sonoo, Masahiro, et al. “Detailed Analysis of the Latencies of Median Nerve Somatosensory Evoked Potential Components, 1: Selection of the Best Standard Parameters and the Establishment of Normal Values.” Electroencephalography and Clinical Neurophysiology/Evoked Potentials Section, vol. 100, no. 4, 1996, pp. 319–331., doi:10.1016/0168-5597(96)95035-2. |
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Derechos reservados - Universidad Nacional de Colombia |
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http://purl.org/coar/access_right/c_abf2 |
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Atribución-NoComercial-SinDerivadas 4.0 Internacional |
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Acceso abierto |
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info:eu-repo/semantics/openAccess |
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Atribución-NoComercial-SinDerivadas 4.0 Internacional Derechos reservados - Universidad Nacional de Colombia Acceso abierto http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2 |
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Bogotá - Medicina - Especialidad en Medicina Física y Rehabilitación |
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Universidad Nacional de Colombia - Sede Bogotá |
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Universidad Nacional de Colombia |
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Atribución-NoComercial-SinDerivadas 4.0 InternacionalDerechos reservados - Universidad Nacional de ColombiaAcceso abiertohttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Mendoza Pulido, Juan Camilo9fe60bba-753e-4f17-ae95-69db854f3a2bHidalgo Paz, Mónica Lorenad947e083-173e-429e-b8c1-aaa56155faf22021-02-09T15:14:41Z2021-02-09T15:14:41Z2020-01-10Hidalgo Paz, M. L. (2020). Valores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanos [Tesis de maestría, Universidad Nacional de Colombia]. Repositorio Institucional.https://repositorio.unal.edu.co/handle/unal/79155INTRODUCTION: Pelvic pain of neurogenic origin is characterized by paresthesia in the inguinal or upper pubic region, and includes mechanical damage to the iliohypogastric, ilioinguinal and genitofemoral nerves, within its etiology, during pelvic or gynecological surgery. Electrodiagnostic tests become a very useful tool in diagnosis, whose reference values have not been studied quantitatively in our environment. OBJECTIVE: To present the reference values of the somatosensory evoked potentials of the iliohypogastric nerve, by means of a linear regression analysis, taking into account the anthropometric and electrodiagnostic variables obtained. METHODS: Using a prospective methodology, participants were recruited without suspicion or prior diagnosis of neuropathy or abdominopelvic surgery. For each individual, the somatosensory evoked potential of the iliohypogastric nerve was acquired, recording the latencies P1, N1 and amplitude of the right and left side, and the latencies P37 and N45 of the right posterior tibial nerve. A multiple linear regression model was used with the selected predictors. RESULTS: A P1 latency prediction model was designed with the selected variables. For this model, it was not possible to reject the hypothesis of a slope different from 0 for the variables sex, height, and P37 latency, for which reason another model was created to predict N1 latency with the selected variables. The mean difference N1 minus P1 was then evaluated and a 95% confidence interval was constructed. These values were 9.36ms ± 0.621ms. That is, from the prediction of latency N1, it is possible to estimate latency P1 by subtracting a constant value. CONCLUSION: The establishment of normative values of the somatosensory evoked potentials of the iliohypogastric nerve are useful during the clinical evaluation of patients in whom pelvic pain of neurogenic origin is studied.INTRODUCCIÓN: El dolor pélvico de origen neurogénico se caracteriza por presentar parestesias en la región inguinal o púbica superior, e incluye dentro de su etiología el daño mecánico de los nervios iliohipogástrico, ilioinguinal y genitofemoral, durante la cirugía pélvica o ginecológica. Los exámenes de electrodiagnóstico se convierten en una herramienta bastante útil en el diagnóstico, cuyos valores de referencia no se han estudiado de manera cuantitativa en nuestro medio. OBJETIVO: Presentar los valores de referencia de los potenciales evocados somatosensoriales del nervio iliohipogástrico, mediante un análisis de regresión lineal, teniendo en cuenta las variables antropométricas y de electrodiagnóstico obtenidas. MÉTODOS: Por medio de una metodología prospectiva se reclutaron participantes sin sospecha o diagnóstico previo de neuropatía o de cirugía abdominopélvica. Para cada individuo se adquirió el potencial evocado somatosensorial del nervio iliohipogástrico, registrando las latencias P1, N1 y amplitud del lado derecho e izquierdo, y las latencias P37 y N45 del nervio tibial posterior derecho. Se utilizó un modelo de regresión lineal múltiple con los predictores seleccionados. RESULTADOS: Se diseñó un modelo de predicción de la latencia P1 con las variables seleccionadas, con el cual no fue posible rechazar la hipótesis de una pendiente diferente de 0 para las variables sexo, talla y latencia P37, por lo cual se creó otro modelo para predecir la latencia N1 con las variables seleccionadas. Seguidamente se evaluó el promedio de la diferencia N1 menos P1 y se construyó un intervalo de confianza al 95%. Estos valores fueron 9.36ms ± 0.621ms. Es decir, a partir de la predicción de la latencia N1, es posible estimar la latencia P1 al restar un valor constante. CONCLUSIÓN: El establecimiento de los valores normativos de los potenciales evocados somatosensoriales del nervio iliohipogástrico son útiles durante la evaluación clínica de pacientes en los que se estudie dolor pélvico de origen neurogénico.Especialidades Médicas30application/pdfspa610 - Medicina y saludNeuralgia inguinalAtrapamiento del nervio iliohipogástricoInguinodinia neuropáticaPotenciales evocados somatosensorialesInguinal neuralgiaIliohypogastric nerve entrapmentNeuropathic inguinodyniaSomatosensory evoked potentialsValores normales de potenciales evocados somatosensoriales del nervio iliohipogástrico en una muestra de adultos sanosArtículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Texthttp://purl.org/redcol/resource_type/ARTBogotá - Medicina - Especialidad en Medicina Física y RehabilitaciónUniversidad Nacional de Colombia - Sede BogotáAmerican Clinical Neurophysiology Society. (2006). Guideline 9A: guidelines on evoked potentials. American Journal of Electroneurodiagnostic Technology, 46(3), 240–253.Doria-Lamba, L., Montaldi, L., Grosso, P., Veneselli, E., & Giribaldi, G. (2009). Short latency evoked somatosensory potentials after stimulation of the median nerve in children: normative data. Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society, 26(3), 176–182.Drake, R. (2010). Gray ́s anatomia para estudantes 2a edição. Elsevier Brasil.Dubin, A. (2018). Elucidating the Cause of Pelvic Pain. Physical Medicine and Rehabilitation Clinics of North America, 29(4), 777–782.Elkins, N., Hunt, J., & Scott, K. M. (2017). Neurogenic Pelvic Pain. Physical Medicine and Rehabilitation Clinics of North America, 28(3), 551–569.Khatri, G., Khan, A., Raval, G., & Chhabra, A. (2017). Diagnostic Evaluation of Chronic Pelvic Pain. Physical Medicine and Rehabilitation Clinics of North America, 28(3), 477–500.Labat, J.-J., -J. Labat, J., Delavierre, D., Sibert, L., & Rigaud, J. (2010). Explorations électrophysiologiques des douleurs pelvipérinéales chroniques. In Progrès en Urologie (Vol. 20, Issue 12, pp. 905–910). https://doi.org/10.1016/j.purol.2010.08.061Loos, M. J. A., Scheltinga, M. R. M., & Roumen, R. M. H. (2008). Surgical management of inguinal neuralgia after a low transverse Pfannenstiel incision. Annals of Surgery, 248(5), 880–885.Miura, T., Sonoo, M., & Shimizu, T. (2003). Establishment of standard values for the latency, interval and amplitude parameters of tibial nerve somatosensory evoked potentials (SEPs). Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology, 114(7), 1367–1378.Narita, M., Jikihara, S., Hata, H., Matsusue, R., Yamaguchi, T., Otani, T., & Ikai, I. (2017). Surgical experience of laparoscopic retroperitoneal triple neurectomy for a patient with chronic neuropathic inguinodynia. International Journal of Surgery Case Reports, 40, 80–84.Palumbo, P., Minicucci, A., Nasti, A. G., Simonelli, I., Vietri, F., & Angelici, A. M. (2007). Treatment for persistent chronic neuralgia after inguinal hernioplasty. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 11(6), 527–531Poornima, S., Ali, S. S., Balaji, P. A., Shankar, V., & Kutty, K. (2013). Median nerve somatosensory evoked potentials in medical students: Normative data. Advanced Biomedical Research, 2, 56.Pró, E. A. (2013). Anatoma Clnica / Clinical Anatomy.Reinpold, W., Schroeder, A. D., Schroeder, M., Berger, C., Rohr, M., & Wehrenberg, U. (2015). Retroperitoneal anatomy of the iliohypogastric, ilioinguinal, genitofemoral, and lateral femoral cutaneous nerve: consequences for prevention and treatment of chronic inguinodynia. In Hernia (Vol. 19, Issue 4, pp. 539–548). https://doi.org/10.1007/s10029-015-1396-zShadhu, K., Ramlagun, D., Chen, S., & Liu, L. (2018). Neuralgia due to iliohypogastric nerve injury after inguinal hernioplasty: a case report. BMC Surgery, 18(1), 59.Shin, J. H., & Howard, F. M. (2012). Abdominal wall nerve injury during laparoscopic gynecologic surgery: incidence, risk factors, and treatment outcomes. Journal of Minimally Invasive Gynecology, 19(4), 448–453.Sonoo, Masahiro, et al. “Detailed Analysis of the Latencies of Median Nerve Somatosensory Evoked Potential Components, 1: Selection of the Best Standard Parameters and the Establishment of Normal Values.” Electroencephalography and Clinical Neurophysiology/Evoked Potentials Section, vol. 100, no. 4, 1996, pp. 319–331., doi:10.1016/0168-5597(96)95035-2.ORIGINALProyecto potenciales evocados.pdfProyecto potenciales evocados.pdfapplication/pdf935092https://repositorio.unal.edu.co/bitstream/unal/79155/1/Proyecto%20potenciales%20evocados.pdf15a2c530d262291eb49679d103aee3e2MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-83964https://repositorio.unal.edu.co/bitstream/unal/79155/2/license.txtcccfe52f796b7c63423298c2d3365fc6MD52CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8914https://repositorio.unal.edu.co/bitstream/unal/79155/3/license_rdf1608e658af296c3febc577e957e919bfMD53THUMBNAILProyecto potenciales 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