Proximal slowing in carpal tunnel syndrome resulting from either conduction block or retrograde degeneration

1993 ◽  
Vol 240 (5) ◽  
pp. 287-290 ◽  
Author(s):  
Ming-Hong Change ◽  
Kwong-Kum Liao ◽  
Shih-Ping Change ◽  
Koon-Wah Kong ◽  
See-Chiu Cheung
2003 ◽  
Vol 61 (1) ◽  
pp. 48-50 ◽  
Author(s):  
Marcelo Ribeiro Caetano

Median nerve entrapment in the palm to wrist segment is known as carpal tunnel syndrome (CTS). Electromyography is the best evaluation test to confirm the disease, as it shows a median reduced conduction velocity and/or conduction block; however, the usual CTS electrodiagnostic tests do not separate segmental demyelination alone from segmental demyelination plus secondary axonal degeneration. We studied 100 hands from CTS patients (classified as mild, moderate, and severe), and 50 hands from normal subjects. The median palmar sensory nerve action potential (SNAP) amplitude was measured and compared between the two groups. It would be expected that SNAP was normal if no axonal degeneration had occurred. The results showed that in mild CTS group and part of moderate CTS group SNAP amplitude was normal, whereas in severe CTS group, and part of moderate group SNAP amplitude was reduced, proving that axonal degeneration was involved. As it is well stated that axonal lesions have worse prognosis than segmental demyelinating ones, this simple test may help to preditic the CTS outcome and treatment.


Brain ◽  
1999 ◽  
Vol 122 (5) ◽  
pp. 933-941 ◽  
Author(s):  
M. C. Kiernan

2006 ◽  
Vol 33 (5) ◽  
pp. 619-626 ◽  
Author(s):  
Bradley V. Watson ◽  
William F. Brown ◽  
Timothy J. Doherty

Author(s):  
Giovanni Di Guglielmo ◽  
Filomena Torrieri ◽  
Maria Repaci ◽  
Antonino Uncini

2014 ◽  
Vol 50 (4) ◽  
pp. 323-331
Author(s):  
Mona Mokhtar El Bardawil ◽  
Gihan Abd El Latief Younis ◽  
Marwa Mohammed Hassan ◽  
Eman Ramadan Mohammed

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