Mark M Stecker1, Huiying Yu, Renee Barlev, Michael Marmor, Marc Wilkenfeld. 1. Department of Neuroscience (Drs Stecker, Yu); Department of Medicine, Winthrop University Hospital, Mineola (Dr Barlev); Department of Population Health, Environmental Medicine and Medicine, NYU Langone Medical Center, New York (Drs Marmor, Wilkenfeld); and Department of Medicine/Division of Occupational Medicine, Winthrop University Hospital, Mineola, New York (Dr. Wilkenfeld).
Abstract
OBJECTIVE: The aim of this study was to describe the clinical phenotype of a limited group of responders and survivors of the World Trade Center (WTC) disaster who were referred for the evaluation of neuropathic symptoms. METHODS: Sixteen patients with WTC exposure were referred to a neurologist for evaluation. All had a neurologic examination. Most had electromyogram and nerve conduction testing/nerve conduction studies as well as appropriate imaging and blood tests. RESULTS: There was a higher probability of a neuropathy diagnosis in WTC-exposed patients than other patients referred for EMG testing. Two WTC-exposed patients had motor neuron disease and not neuropathy. CONCLUSION: This study provides objective evidence of neuropathy in a relatively high fraction of WTC-exposed patients with neuropathic symptoms. It also emphasizes that the scope of neurologic problems following WTC exposure may include other diagnoses such as motor neuron disease.
OBJECTIVE: The aim of this study was to describe the clinical phenotype of a limited group of responders and survivors of the World Trade Center (WTC) disaster who were referred for the evaluation of neuropathic symptoms. METHODS: Sixteen patients with WTC exposure were referred to a neurologist for evaluation. All had a neurologic examination. Most had electromyogram and nerve conduction testing/nerve conduction studies as well as appropriate imaging and blood tests. RESULTS: There was a higher probability of a neuropathy diagnosis in WTC-exposed patients than other patients referred for EMG testing. Two WTC-exposed patients had motor neuron disease and not neuropathy. CONCLUSION: This study provides objective evidence of neuropathy in a relatively high fraction of WTC-exposed patients with neuropathic symptoms. It also emphasizes that the scope of neurologic problems following WTC exposure may include other diagnoses such as motor neuron disease.
Authors: Michael Marmor; Yongzhao Shao; D Harshad Bhatt; Mark M Stecker; Kenneth I Berger; Roberta M Goldring; Rebecca L Rosen; Caralee Caplan-Shaw; Angeliki Kazeros; Deepak Pradhan; Marc Wilkenfeld; Joan Reibman Journal: J Occup Environ Med Date: 2017-04 Impact factor: 2.162
Authors: Hilary L Colbeth; Rachel Zeig-Owens; Mayris P Webber; David G Goldfarb; Theresa M Schwartz; Charles B Hall; David J Prezant Journal: Int J Environ Res Public Health Date: 2019-05-16 Impact factor: 3.390
Authors: Michael Marmor; Sujata Thawani; Maria Luisa Cotrina; Yongzhao Shao; Ericka S Wong; Mark M Stecker; Bin Wang; Alexander Allen; Marc Wilkenfeld; Etta J Vinik; Aaron I Vinik; Joan Reibman Journal: J Occup Environ Med Date: 2020-04 Impact factor: 2.306