Value of oxyneurography, based on near infrared spectroscopy, in the diagnosis of carpal tunnel syndrome in comparison to provocative clinical diagnostic tests and nerve conduction studies
| Autor: | Marlena Hupalo, Jan Fortuniak, Janusz Smigielski, Dariusz J. Jaskólski |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Clinical tests medicine.medical_specialty Neural Conduction 03 medical and health sciences 0302 clinical medicine Oxygen Consumption Physiology (medical) medicine Humans 030212 general & internal medicine Carpal tunnel syndrome Aged Aged 80 and over Neurologic Examination Spectroscopy Near-Infrared medicine.diagnostic_test business.industry Diagnostic test Middle Aged medicine.disease Carpal Tunnel Syndrome Sensory Systems Median nerve Surgery Median Nerve Neurology Nerve conduction study Compression test Female Neurology (clinical) Objective evaluation business Nerve conduction Nuclear medicine 030217 neurology & neurosurgery |
| Zdroj: | Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology. 129(1) |
| ISSN: | 1872-8952 |
| Popis: | Objective Evaluation of the diagnostic utility of the oxyneurography (ONG) in diagnosing carpal tunnel syndrome (CTS). Methods ONG examination of the median nerve was performed in 260 patients. The results were compared with nerve conduction studies and clinical provocative tests. Results ONG index greater than or equal to 62% was found in 95.18% of the patients with no or minimal Nerve Conduction Study (NCS) changes (1–2 according to the Padua classification) but only in 1.69% of the patients with advanced NCS changes (Padua 3–6). The sensitivity and specificity of the ONG study i.e. 95.18% and 98.31%, respectively, were compared with standard clinical tests: Tinel sign (61.45% and 14.69%), Phalen test (34.94% and 45.20%), reverse Phalen test (81.93% and 34.46%) and carpal compression test (91.57% and 72.32%). Conclusions ONG index lower than 62% was indicative of CTS. ONG has higher sensitivity and specificity then other clinical tests and it is an accurate and reliable method for the diagnosis of CTS. Significance Oxyneurography is a non-invasive, fast and safe study which may play role in the diagnosis of carpal tunnel syndrome. |
| Databáze: | OpenAIRE |
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