Cold effect in median nerve conductions in clinical carpal tunnel syndrome with normal nerve conduction studies
| Autor: | Ebru Turgal, Ilknur Yardimci, Bahar Say, Ufuk Ergün |
|---|---|
| Přispěvatelé: | Hitit Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, [Belirlenecek], Kırıkkale Üniversitesi |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Neural Conduction behavioral disciplines and activities Nerve conduction velocity 03 medical and health sciences 0302 clinical medicine Physiology (medical) mental disorders medicine Humans Patient group Carpal tunnel syndrome Aged Normal nerve conduction studies business.industry Nerve Conduction Studies Skin temperature General Medicine Middle Aged medicine.disease Carpal Tunnel Syndrome Median nerve nervous system diseases Median Nerve Cold Temperature Neurology 030220 oncology & carcinogenesis Anesthesia Clinical diagnosis Entrapment Neuropathy Surgery Female Neurology (clinical) Demyelination business Skin Temperature 030217 neurology & neurosurgery Cold |
| Zdroj: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 61 |
| ISSN: | 1532-2653 |
| Popis: | WOS: 000460844400018 PubMed: 30538080 Clinical diagnosis of carpal tunnel syndrome (CTS) is confirmed by nerve conduction studies (NCS). In some cases, NCS may be normal. We aimed to demonstrate changes of distal motor latency (DML) and nerve conduction velocity (NCV) pathology of demyelination in entrapment neuropathy with cold application in case of clinical CTS with normal NCS. This prospective, cross-sectional, randomise, case-control involved 15 patients (25 hands) with clinically definite unilateral or bilateral CTS and normal nerve conduction studies (NCS), and 11 controls (22 hands). Ice pack was applied to median nerve trasse at wirst with monitoring skin temperature. NCS of median nerve were examinated again. Increases of DML, decrease of velocity of median nerve were observed in two groups after post-cooling. The change in NCV was greater than the change in DML. Cold effect was evident in DML and NCV in the patient group. This could be sign of the demyelination pathology. We think that cold application is influential to determine electrophysiologic abnormalities in clinic CTS with normal NCS. (C) 2018 Elsevier Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
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