Comparative Analysis Of Various Electrophysiological Methods For The Diagnosis Of Carpal Tunnel Syndrome

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dc.contributor.authorJain, Deepaken_US
dc.contributor.authorSaini, Pankaj Kumaren_US
dc.date.accessioned2019-11-25T05:27:46Z
dc.date.available2019-11-25T05:27:46Z
dc.date.issued2019-07
dc.description.abstractBACKGROUND:Patients with Mild Carpal tunnel syndrome (CTS) may not be picked up by routine nerve conduction methods. So, this study was performed to identify the most sensitive way to detect mild to moderate Carpal tunnel syndrome and to evaluate the sensitivity of different methods for diagnosis of carpal tunnel syndrome.MATERIALAND METHOD: We included sixty clinically confirmed CTS patients in our study. We recorded the clinical characteristics and laboratory features in a proforma. We also included sixty healthy age and sex-matched asymptomatic individuals as controls in our study. We excluded patients with underlying peripheral neuropathy. We included Median distal motor latency, Median distal sensory latency, Median-versus-ulnar 2nd Lumbrical-interossei comparison study, Median-versus-ulnar wrist-to-digit four comparison study, Median -versus- Radial thumb sensory study, Median-versus-ulnar motor distal latency difference, and Median-versus-ulnar sensory latency difference tests in our study.RESULTS:Out of sixty patients, female: male ratio was 2.3:1, and the mean age was 44.28±11.41 years. The mean symptom duration was 0.76±0.03 years. Out of 42 females, 38(90.4%) were engaged in daily household activities. In patients group median nerve distal motor latency was 5.024±2.05 ms, whereas sensory latency was 3.53±0.75 ms. We found maximum sensitivity in Median-versus-ulnar wrist-to-digit four comparison study (90.19%). In Median-versus-Radial thumb sensory study sensitivity was 88.23%, followed by Median-versus-ulnar 2nd Lumbrical- interossei comparison study (86.27%). We found lowest sensitivity (72.55%) in Median distal motor latency test.CONCLUSION:Electrophysiological tests including Median-versus-ulnar wrist-to-fourth digit comparison study, and comparative study of Median-versus-ulnar 2nd Lumbrical- interossei should be included to diagnose mild CTS patients with normal Median distal motor latency, and median distal sensory latency testsen_US
dc.identifier.affiliationsD.M. Neurology, S.M.S. Medical College, Jaipuren_US
dc.identifier.affiliationsSeniorResident,DepartmentofNeurology,S.M.S.MedicalCollege,Jaipur *Corresponding Authoren_US
dc.identifier.citationJain Deepak, Saini Pankaj Kumar . Global Longitudinal Strain Evaluation In Hypertension With And Without Left Ventricular Hypertrophy By Speckle Tracking Echocardiography. International Journal of Scientific Research. 2019 Jul; 8(7): 52-53en_US
dc.identifier.issn2277-8179
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/185390
dc.languageenen_US
dc.publisherWorld Wide Journalsen_US
dc.relation.issuenumber7en_US
dc.relation.volume8en_US
dc.subjectcarpal tunnel syndromeen_US
dc.subjectmedian nerveen_US
dc.subjectelectrophysiological testsen_US
dc.titleComparative Analysis Of Various Electrophysiological Methods For The Diagnosis Of Carpal Tunnel Syndromeen_US
dc.typeJournal Articleen_US
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