Citation

Tu Y, Lineaweaver WC, Zheng X, Chen Z, Mullins F, Zhang F. Burns 2017; 43(4): 693-699.

Affiliation

Joseph M. Still Burn and Reconstruction Center, Jackson, MS, USA. Electronic address: feng.zhang@jmsburncenters.com.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.burns.2016.08.003

PMID

28347546

Abstract

Peripheral neuropathy is the most frequent disabling neuromuscular complication of burns. However, the insidious and progressive onset of burn neuropathy makes it often undiagnosed or overlooked. In our study, we reviewed the current studies on the burn-related peripheral neuropathy to summarize the morbidity, mechanism, detecting method and management of peripheral neuropathy in burn patients. Of the 1533 burn patients included in our study, 98 cases (6.39%) were presented with peripheral neuropathy. Thermal and electrical burns were the most common etiologies. Surgical procedures, especially nerve decompression, showed good effect on functional recovery of both acute and delayed peripheral neuropathy in burn patients. It is noteworthy that, for early detection and prevention of peripheral neuropathy, electrodiagnostic examinations should be performed on burn patients independent of symptoms. Still, the underlying mechanisms of burn-related peripheral neuropathy remain to be clarified.

Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Language: en

Keywords

Burn; Mechanism; Nerve decompression; Peripheral neuropathy