Document Detail


Changes in electrophysiological parameters after surgery for the carpal tunnel syndrome.
MedLine Citation:
PMID:  20461017     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Carpal tunnel syndrome is a common condition, affecting mostly females. Nerve conduction studies are performed routinely for the diagnosis of carpal tunnel syndrome. Surgical intervention for release of the median nerve at the carpal tunnel is the treatment of choice. Few studies have looked at the improvement in the electrophysiological parameters after carpal tunnel release. This study compared the distal motor and sensory latencies, motor and sensory amplitudes, and sensory conduction velocities of the median nerves across the carpal tunnel in patients with the carpal tunnel syndrome preoperatively and postoperatively at 18 and 42 weeks, respectively. The results showed improvement in all the studied variables, except the distal sensory latency, 18 weeks after the surgery, whereas the distal sensory latency improved only at 42 weeks postoperatively. These findings denote the differential affection of the sensory and motor fibers in the carpal tunnel syndrome and confirm the value of nerve conduction studies in the evaluation of patients who do not improve or who have recurrence of their symptoms after carpal tunnel release.
Authors:
Taghrid El-Hajj; Rania Tohme; Raja Sawaya
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society     Volume:  27     ISSN:  1537-1603     ISO Abbreviation:  J Clin Neurophysiol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-03     Completed Date:  2010-09-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506708     Medline TA:  J Clin Neurophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  224-6     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Division of Neurology, American University Medical Center, Beirut, Lebanon.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carpal Tunnel Syndrome / physiopathology*,  surgery*
Electrophysiology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neural Conduction / physiology*
Postoperative Period
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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