PMID: 10731930Mar 25, 2000Paper

Asymptomatic electrophysiologic carpal tunnel syndrome in diabetics: entrapment or polyneuropathy

Yonsei Medical Journal
W K KimI N Sunwoo

Abstract

Electrophysiologic carpal tunnel syndrome (CTS) is common and is frequently asymptomatic in diabetics. In order to evaluate the clinical significance of asymptomatic electrophysiologic CTS, the nerve conduction studies (NCS) of 48 diabetics with asymptomatic electrophysiologic CTS were compared with those of 56 age and gender-matched controls, as well as 50 patients with symptomatic CTS without diabetes. Nerve conduction velocities of the ulnar, peroneal, and posterior tibial nerves were significantly slower in diabetics with asymptomatic electrophysiologic CTS than in normal controls. Compared to symptomatic non-diabetic CTS, there was also significant slowing of the median and ulnar nerve conduction velocities in asymptomatic diabetic CTS. However, in diabetics with asymptomatic CTS, abnormalities of the distal segment of the median NCS were more prominent compared with those of all the other tested nerves. These findings suggested that asymptomatic electrophysiologic CTS in diabetics is a manifestation of increased vulnerability to the entrapment of the peripheral nerve.

Citations

Sep 16, 2011·Diabetes & Metabolism·S Ravindran RajendranG Shanmugasundar
Feb 19, 2011·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Sibel GaziogluVildan Altunayoglu Cakmak
Dec 17, 2008·Clinical Neurology and Neurosurgery·Ali Moghtaderi, Maryam Ghafarpoor
Nov 11, 2005·Journal of the Peripheral Nervous System : JPNS·Eugenia RotaDario Cocito
Nov 26, 2013·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Hyun Im MoonHang Jae Lee
Jul 26, 2016·Annals of Rehabilitation Medicine·Hye Young HanDae-Hyun Jang
Oct 15, 2009·Foot & Ankle Specialist·Andrew J Rader, Timothy P Barry
Apr 3, 2014·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Eiichi ItoMakoto Iwata
Apr 20, 2014·American Journal of Physical Medicine & Rehabilitation·Li-Na KimHang-Jae Lee
Apr 30, 2010·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Tsuneo WatanabeToshio Matsuoka
May 28, 2009·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Tsuneo WatanabeMitsuru Seishima
Jan 22, 2003·JAMA : the Journal of the American Medical Association·Daniel L Menkes

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