title: H reflexes as a measure for uremic polyneuropathy. A longitudinal study in patients treated with dialysis or renal transplantation.
abstract: Assessment of peripheral nerve function in end stage uremia by clinical and conventional nerve conduction velocity studies was compared to that using H reflex measurements. The latter proved to be the most sensitive technique. The results of the test correlated well with clinical and with other neuro-physiological measures. Nerve function as evaluated by H reflexes remained stable during the first 2 years of dialysis, but deteriorated later on. H reflex latencies shortened after renal transplantation. The results of H reflex measurements did not correlate with biochemical parameters, which makes the test a less attractive overall measure for the efficiency of therapy in uremia. In the follow-up of patients under treatment for uremic polyneuropathy, however, recording of H reflexes provides an important measure.
authors.affiliation: Westeinde Hospital, The Hague, The Netherlands.
authors.forename: A W
authors.initials: AW
authors.lastname: De Weerd
authors.forename: J
authors.initials: J
authors.lastname: Nihom
authors.forename: C A
authors.initials: CA
authors.lastname: Rozeman
authors.forename: D C
authors.initials: DC
authors.lastname: Poortvliet
authors.forename: E J
authors.initials: EJ
authors.lastname: Jonkman
authors.forename: A P
authors.initials: AP
authors.lastname: Van der Maas
authors.forename: Y I
authors.initials: YI
authors.lastname: Tjandra
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D004576:Electromyography; D006181:H-Reflex / Q000502:physiology*; D006801:Humans; D016030:Kidney Transplantation; D008137:Longitudinal Studies; D008875:Middle Aged; D009132:Muscles / Q000503:physiopathology; D009431:Neural Conduction / Q000502:physiology; D010523:Peripheral Nervous System Diseases / Q000209:etiology / Q000503:physiopathology*; D010531:Peritoneal Dialysis, Continuous Ambulatory; D006435:Renal Dialysis; D014511:Uremia / Q000150:complications / Q000503:physiopathology* / Q000628:therapy