01671nas a2200241   4500000000100000008004100001260001300042653001000055653001100065653001200076653000900088653001600097653002700113100001800140700002500158245008300183856005900266300001100325490000700336050003200343520104000375022001401415       1992                            d  c1992 Sep10aAdult10aHumans10aleprosy10aMale10aMiddle Aged10aNeurologic Examination1 aJennekens F G1 aJennekens-Schinkel A00aNeurological examination of patients suffering from leprosy: is it worthwhile?  uhttp://leprev.ilsl.br/pdfs/1992/v63n3/pdf/v63n3a09.pdf  a269-760 v63  aInfolep Library - available3 a<p>We examined 28 male leprosy patients to discover if a more extensive neurological investigation than usual would be worthwhile in diagnosis and/or management. Our findings were fully compatible with what might be expected from a mononeuritis multiplex, either due to leprosy or other causes. The following observations are noteworthy. Changes of position sense and a decrease of some tendon reflexes were present in a minority of the patients. In soles of the feet, considered to be an- or hypaesthetic, some residual pain sensation could occasionally be detected. Functional testing of at least one muscle group (m. triceps surae) appeared to be more reliable than manual testing according to MRC criteria. We concluded that an extensive neurological examination is probably not required for diagnosis. It does provide, however, more accurate information on the extent of damage to the peripheral nervous system, which may be important for management and for assessment of treatment effects. The use of a myometer is advocated.</p>  a0305-7518