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Medial plantar and dorsal sural nerve conduction studies increase the sensitivity in the detection of neuropathy in diabetic patients

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dc.contributor.authorİŞAK, BARIŞ
dc.contributor.authorsUluc, Kayihan; Isak, Baris; Borucu, Deniz; Temucin, Cagri Mesut; Cetinkaya, Yilmaz; Koytak, Pinar Kahraman; Tanridag, Tulin; Us, Onder
dc.date.accessioned2022-03-12T17:35:32Z
dc.date.available2022-03-12T17:35:32Z
dc.date.issued2008
dc.description.abstractobjective: Clinical utility of nerve conduction studies (NCS) of the medial plantar and dorsal sural nerves in the early detection of polyneuropathy have already been shown separately. However, at present, there is no data about the combined assessment of these two nerves in distal sensory neuropathy. In the present study, we aimed to evaluate the medial plantar and dorsal sural NCS in a group of diabetic patients with distal sensory neuropathy (DSN) and in healthy controls. Methods: Thirty healthy and 30 diabetic adult patients were included. In all subjects, peripheral motor and sensory NCS were performed bilaterally with surface electrodes on the lower limbs including medial plantar and dorsal sural nerves. In addition, motor and sensory nerves were studied unilaterally on the upper limb. Results: In all patients, nerve action potential (NAP) amplitudes of sural and superficial peroneal nerves were within normal ranges, but in the patient group mean value was significantly lower than in the controls. Among clinically defined 30 DSN patients, medial plantar NAP amplitude was abnormal in 18 (60%) and dorsal sural nerve amplitude was abnormal in 13 (40%) of the patients bilaterally. Additionally, the onset NCV of the dorsal sural nerve was significantly slower in patients than controls (P = 0.038). Evaluation of both of these nerves increased the sensitivity up to 70% in the detection of neuropathy. Conclusions: Bilateral NCS assessment of both of the medial plantar and dorsal sural nerves together increases the rate of diagnosis of diabetic distal sensory neuropathy compared to assessment of either of these nerves. Significance: Assessment of medial plantar in addition to dorsal sural NCS together increases the sensitivity in the detection of neuropathy and allows earlier diagnosis, especially when routine NCS are normal. (c) 2008 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.
dc.identifier.doi10.1016/j.clinph.2008.01.001
dc.identifier.issn1388-2457
dc.identifier.pubmed18291716
dc.identifier.urihttps://hdl.handle.net/11424/229175
dc.identifier.wosWOS:000255110100017
dc.language.isoeng
dc.publisherELSEVIER IRELAND LTD
dc.relation.ispartofCLINICAL NEUROPHYSIOLOGY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectmedial plantar nerve
dc.subjectdorsal sural nerve
dc.subjectdiabetic sensory neuropathy
dc.subjectSENSORY POLYNEUROPATHY
dc.subjectCLINICAL UTILITY
dc.subjectHEALTHY
dc.subjectFOOT
dc.titleMedial plantar and dorsal sural nerve conduction studies increase the sensitivity in the detection of neuropathy in diabetic patients
dc.typearticle
dspace.entity.typePublication
local.avesis.id04a5df5a-133f-409f-98f6-659d803616fe
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages6
oaire.citation.endPage885
oaire.citation.issue4
oaire.citation.startPage880
oaire.citation.titleCLINICAL NEUROPHYSIOLOGY
oaire.citation.volume119
relation.isAuthorOfPublication3978eebd-304b-4af3-930c-2db9759c860d
relation.isAuthorOfPublication.latestForDiscovery3978eebd-304b-4af3-930c-2db9759c860d

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