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Comparative electrophysiological techniques in the diagnosis of carpal tunnel syndrome in patients with diabetic polyneuropathy

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dc.contributor.authorAKYÜZ, GÜLSEREN DERYA
dc.contributor.authorsYagci, Ilker; Gunduz, Osman Hakan; Sancak, Seda; Agirman, Mehmet; Mesci, Erkan; Akyuz, Gulseren
dc.date.accessioned2022-03-12T17:47:21Z
dc.date.available2022-03-12T17:47:21Z
dc.date.issued2010
dc.description.abstractObjective: To determine utility of comparative electrophysiological techniques in differentiating carpal tunnel syndrome (CTS) in the background of diabetic polyneuropathy (DPN). Design: Ninety diabetic patients were classified into three groups: normal, CTS, and DPN according to nerve conduction studies (NCSs). The patients in the DPN group were divided into two subgroups of DPN and DPN-CTS according to clinical criteria. The comparative electrophysiological parameters including median-radial sensory distal latency difference (M-RSLD), median-ulnar sensory distal latency difference (M-USLD) and lumbrical-interosseous median-ulnar distal latency difference (LIMULD) were compared in subgroups of DPN, DPN-CTS and CTS. Results: Thirty-five (38.8%), 47(52.3%), and 8(8.9%) patients were diagnosed as CTS, DPN, and normal, respectively, according to NCS. After clinical stratification, 25 patients were diagnosed as DPN and 22 patients were diagnosed as DPN-CTS. The mean M-USLD and LIMULD values were similar in CTS and DPN-CTS groups, but larger than DPN statistically (p < 0.05 for all). LIMULD, M-RSLD and M-USLD were positive in 88.4, 73 and 54% in the DPN-CTS group, respectively. Conclusions: Electrophysiological abnormalities were common in diabetic patients and LIMULD can identify CTS in diabetic DPN patients better than M-RSLD and M-USLD. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
dc.identifier.doi10.1016/j.diabres.2010.02.011
dc.identifier.issn0168-8227
dc.identifier.pubmed20223548
dc.identifier.urihttps://hdl.handle.net/11424/229734
dc.identifier.wosWOS:000278426700006
dc.language.isoeng
dc.publisherELSEVIER IRELAND LTD
dc.relation.ispartofDIABETES RESEARCH AND CLINICAL PRACTICE
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDiabetes mellitus
dc.subjectCarpal tunnel syndrome
dc.subjectPolyneuropathy
dc.subjectElectrodiagnosis
dc.subjectMEDIAN MONONEUROPATHY
dc.subjectNEUROPATHY
dc.subjectSEVERITY
dc.subjectMELLITUS
dc.titleComparative electrophysiological techniques in the diagnosis of carpal tunnel syndrome in patients with diabetic polyneuropathy
dc.typearticle
dspace.entity.typePublication
local.avesis.id4f427f8c-1fb3-42d6-9605-dffb8cfe9e70
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages7
oaire.citation.endPage163
oaire.citation.issue2
oaire.citation.startPage157
oaire.citation.titleDIABETES RESEARCH AND CLINICAL PRACTICE
oaire.citation.volume88
relation.isAuthorOfPublicationa0d3ad8e-a3dd-44d0-98b7-d3eb31f6a0c9
relation.isAuthorOfPublication.latestForDiscoverya0d3ad8e-a3dd-44d0-98b7-d3eb31f6a0c9

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