PMID: 12488789Dec 19, 2002

Small fiber dysfunction predominates in Fabry neuropathy

Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
M DütschMax J Hilz

Abstract

Fabry disease is an X-linked recessive disease with a reduction of lysosomal alpha galactosidase A and consecutive storage of glycolipids e.g., in the brain, kidney, skin, and nerve fibers. Cardinal neurologic findings are hypohidrosis, painful episodes, and peripheral neuropathy. So far, the neurophysiological findings regarding the extent of large and small fiber dysfunction are contradictory. This study evaluated large and small nerve fiber function in a homogeneous group of Fabry patients. In 24 of 30 Fabry patients with creatinine below 194.7 mmol/L the authors assessed median, ulnar, and peroneal motor conduction velocity (MCV) and median, ulnar, and sural sensory conduction velocity (SCV) nerve conduction to study the function of thickly myelinated nerve fibers. In addition, the authors studied sympathetic skin responses (SSR) at both hands and feet in 24 patients. To evaluate A beta nerve fiber function, the authors determined vibratory detection thresholds (VDT) at the first toe in 30 patients. Function of A delta and C fibers was assessed by quantitative sensory testing of cold detection threshold (CDT) and heat-pain detection thresholds (HPDT). Nerve conduction studies showed significantly decreased amplitudes of MCV...Continue Reading

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Related Concepts

Fabry Disease
Electric Stimulation Technique
Galvanic Skin Response
Myelinated Nerve Fiber
Nerve Conduction Function
Perineurium
Sensory Thresholds
Severity of Illness Index
Skin
Sympathetic Nervous System

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