UČESTALOST SINDROMA KARPALNOG KANALA KOD OBOLJELIH OD MULTIPLE SKLEROZE

Objective: The aim of the study was to determine the prevalence of carpal tunnel syndrome (CTS) in patients with multiple sclerosis (MS). Patients and Methods: The study included MS patients older than 18 that underwent inpatient rehabilitation at the Lipik Hospital in the period from November 1, 2017 to 31 May 31, 2018. Those patients that had clinical symptoms of CTS were referred to neurologist for electrodiagnostic evaluation. Results: Out of 75 study patients, 21 (28.0%) had CTS. There were no statistically signifi cant differences between the groups of patients with and without CTS according to age (t=0.582, p=0.562), gender (t=0.43, p=0.669), disease duration (t=0.669, p=0.506), level of disability (t=0.094, p=0.926), and course of disease (t=0.572, p=0.569). There was positive correlation between CTS prevalence and EDSS score ≥6 (rs=0.34, p=0.030) and between CTS severity and age (rs=0.464, p=0.034). Conclusion: Given the high prevalence and the fact that CTS symptoms could be misunderstood as MS symptoms, there is the need to actively look for CTS in patients with MS, especially those using assistive walking devices.Cilj rada: Cilj rada bio je odrediti učestalost sindroma karpalnog kanala kod oboljelih od multiple skleroze (MS). Ispitanici i metode: Ispitivanjem su obuhvaćeni bolesnici s MS stariji od 18 godina koji su bili u razdoblju od 1. studenoga 2017. do 31. svibnja 2018. god. na stacionarnoj rehabilitaciji u Bolnici Lipik. Dijagnoza MS postavljena je sukladno revidiranim McDonaldovim kriterijima. Prikupljeni su podatci o dobi, spolu, stupnju onesposobljenosti, kliničkom tijeku MS i vremenu proteklom od postavljanja dijagnoze MS. Bolesnici koji su imali kliničke simptome sindroma karpalnog kanala (parestezije u šaci ± bolovi u šaci s parestezijama ili bez parestezija i bolova u ruci) upućeni su neurologu na elektrofi ziološku procjenu. Ispitanike smo podijelili u skupine ovisno o prisutnosti ili odsutnosti kompresije medijalnog živca u karpalnom kanalu i na skupine sa zbrojem na ljestvici EDSS ≥6 i