A prospective multicentre study on sural nerve action potentials in ALS

Autor: Anders Fuglsang-Frederiksen, Annick Labarre-Vila, W. Nix, Ian S. Schofield, Rocco Liguori, Kirsten Pugdahl, Birger Johnsen, Mamede de Carvalho, Peter R.W. Fawcett
Přispěvatelé: Pugdahl K., Fuglsang-Frederiksen A., Johnsen B., de Carvalho M., Fawcett P.R., Labarre-Vila A., Liguori R., Nix W.A., Schofield I.S., Department of Clinical Neurophysiology, Aarhus University Hospital, Department of Neurology, Hospital de Santa Maria, Newcastle General Hospital, Laboratoire d'électromyographie, CHU Grenoble-PRES Université de Grenoble, Department of Neurological Sciences, Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), University Clinics Mainz, Roux-Buisson, Nathalie
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Adult
Male
medicine.medical_specialty
Neural Conduction
Action Potentials
Sural nerve
Sensory system
Electromyography
Nerve conduction velocity
MESH: Electromyography
03 medical and health sciences
0302 clinical medicine
Sural Nerve
MESH: Neural Conduction
Physiology (medical)
medicine
Humans
[SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
MESH: Action Potentials
MESH: Amyotrophic Lateral Sclerosis
Aged
030304 developmental biology
MESH: Aged
0303 health sciences
MESH: Humans
MESH: Middle Aged
medicine.diagnostic_test
Amyotrophic Lateral Sclerosis
Snap
MESH: Adult
Middle Aged
Sensory Systems
MESH: Male
Surgery
Antidromic
MESH: Sural Nerve
Electrophysiology
medicine.anatomical_structure
Neurology
Anesthesia
Female
[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
Neurology (clinical)
Psychology
MESH: Female
030217 neurology & neurosurgery
Sensory nerve
Zdroj: Clinical Neurophysiology
Clinical Neurophysiology, Elsevier, 2008, 119 (5), pp.1106-10. ⟨10.1016/j.clinph.2008.01.010⟩
ISSN: 1388-2457
Popis: International audience; OBJECTIVE: To evaluate sensory nerve conduction studies in ALS in a prospective multicentre study involving 7 neurophysiologists from 6 European countries. METHODS: Bilateral sural potentials were obtained in 35 ALS patients and 35 age-matched controls according to a standardised examination protocol using antidromic surface technique. The recordings from the right sural nerve of the controls were used for reference values. A reduction from the mean of controls greater than 2 SDs was considered abnormal. RESULTS: Reduced sensory nerve action potential (SNAP) amplitude or reduced conduction velocity (CV), or both, was found in 6 ALS patients (17%). Decrease in CV was the most frequent finding, and was observed in 8 nerves from 5 patients. Reduced SNAP amplitude was found in 2 nerves from 2 patients. All changes were minor ranging from -2.1 to -3.2 SDs. CONCLUSIONS: This is the first standardised multicentre study on sensory potentials in ALS. It confirms that although normal sensory findings should be expected in the majority of ALS patients, minor abnormalities are not uncommon. SIGNIFICANCE: Mild sensory abnormalities do not necessarily exclude a diagnosis of ALS.
Databáze: OpenAIRE