{"id":80643,"date":"2018-03-10T00:04:23","date_gmt":"2018-03-10T00:04:23","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diagnostico-neurofisiologico-del-sa%c2%adndrome-del-tunel-carpiano-nuevas-aportaciones-tecnicas-y-diagnosticas\/"},"modified":"2018-03-10T00:04:23","modified_gmt":"2018-03-10T00:04:23","slug":"diagnostico-neurofisiologico-del-sa%c2%adndrome-del-tunel-carpiano-nuevas-aportaciones-tecnicas-y-diagnosticas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/diagnostico-neurofisiologico-del-sa%c2%adndrome-del-tunel-carpiano-nuevas-aportaciones-tecnicas-y-diagnosticas\/","title":{"rendered":"Diagn\u00f3stico neurofisiol\u00f3gico del s\u00edndrome del t\u00fanel carpiano. nuevas aportaciones t\u00e9cnicas y diagn\u00f3sticas"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Leopoldo Murga Oporto <\/strong><\/h2>\n<p>El s\u00edndrome del t\u00fanel carpiano(stc) es la mononeuropat\u00eda comprensiva cr\u00f3nica m\u00e1s frecuente. Afecta principalmente a mujeres entre 40-60 a\u00f1os de edad, produciendo dolor y parestesias en los dedos dependientes del nervio mediano. Establecer el diagn\u00f3stico es tarea muy com\u00fan en las unidades de electromiograf\u00eda, siendo necesario dise\u00f1ar protocoles cl\u00ednicos y neurofisiol\u00f3gicos firmes y unificados.  se ha estudiado cl\u00ednica y neurofisiol\u00f3gicamente un grupo de 207 pacientes con s\u00edntomas sugestivos de stc. A todos se les aplic\u00f3 un conjunto de test cl\u00ednicos (signo de tinel, test de phalen, phalen inverso,signo de la sacudida y disociaci\u00f3n sensitiva de cuarto dedo) y se investig\u00f3 la presencia de s\u00edntomas algoparest\u00e9sicos nocturnos; para posteriormente practicar una bater\u00eda de 7 pruebas neurofisiol\u00f3gicas(latencia distal motora,conducci\u00f3n mixta palma-mu\u00f1eca, latencias sensitivas a dedos 2\u00c2\u00ba y 3\u00c2\u00ba, test del 4\u00c2\u00ba dedo, test del 1\u00c2\u00ba dedo y test del cent\u00edmetro) considerada como est\u00e1ndar de oro.  la preValencia del stc en la muestra fue del 63,7%. Individualmente ninguno de los signos y s\u00edntomas estudiados resultaron ser predictores de la presencia o ausencia del stc. Sin embargo, mediante un an\u00e1lisis multivariante discriminante se establece que la positividad o negatividad de s\u00edntomas nocturnos, signo de sacudida y test de phalen predice con un intervalo de confianza superior al 95% el resultado del estudio neurofisiol\u00f3gico.  de las 7 pruebas neurofisiol\u00f3gicas realizadas, el test del 4\u00c2\u00ba y el test del cent\u00edmetro son los que mayor porcentaje de estudios positivos producen (96%).  los resultados obtenidos son de utilidad para realizar un diagn\u00f3stico cl\u00ednico de sospecha m\u00e1s fiable, justificando la realizaci\u00f3n de pruebas neurofisiol\u00f3gicas mediante la reducci\u00f3n de las indicaciones de aquellos casos con baja probabilidad y realizando un control de calidad sobre la bater\u00eda aplicada. La reducci\u00f3n del n\u00famero de tests neu<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Diagn\u00f3stico neurofisiol\u00f3gico del s\u00edndrome del t\u00fanel carpiano. nuevas aportaciones t\u00e9cnicas y diagn\u00f3sticas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Diagn\u00f3stico neurofisiol\u00f3gico del s\u00edndrome del t\u00fanel carpiano. nuevas aportaciones t\u00e9cnicas y diagn\u00f3sticas <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Leopoldo Murga Oporto <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Extremadura<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/09\/1999<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Juan  Manuel Moreno Vazquez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: virginio Garc\u00eda mart\u00ednez <\/li>\n<li> Castilla garrido Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>Mar\u00eda dolores Torres asensio (vocal)<\/li>\n<li>carmen Montes mfana (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Leopoldo Murga Oporto El s\u00edndrome del t\u00fanel carpiano(stc) es la mononeuropat\u00eda comprensiva cr\u00f3nica m\u00e1s frecuente. Afecta principalmente [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,141,949,139,392,1880,965,156],"tags":[172534,25149,47872,172533,19567,55262],"class_list":["post-80643","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-extremadura","category-medicina-interna","category-neurocirugia","category-neurologia","category-neuropatologia","category-patologia","tag-carmen-montes-mfana","tag-castilla-garrido-jose-maria","tag-juan-manuel-moreno-vazquez","tag-leopoldo-murga-oporto","tag-maria-dolores-torres-asensio","tag-virginio-garcia-Martinez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/80643","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=80643"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/80643\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=80643"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=80643"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=80643"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}