Document Detail


Nomogram for determining lower limit of the sural response.
MedLine Citation:
PMID:  20097608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Age and height influence on sural sensory nerve action potential (SNAP) have been studied separately. Our aim was to develop an equation for predicting the lower normal limits as a function of both these factors. METHODS: One hundred fifty-eight healthy volunteers, 63 male, with mean age 45.8 and mean height 167.3 without symptoms or signs of peripheral neuropathy participated in the study. The sural SNAP was recorded at the level of the ankle joint, just posterior to the lateral malleolus, using surface electrodes. Antidromic supramaximal stimulation was performed 13 cm proximally at the posterior midcalf. RESULTS: The mean sural SNAP amplitude was 19.9+/-6.89 microV. Pearson linear correlation showed a negative correlation of the SNAP amplitude with age (R=-0.22, p=0.005) and height (R=-0.19, p=0.03). The multiple linear regression model was applied for both parameters of age and height with SNAP amplitude as the dependent parameter, producing the following equation: SNAP amplitude=62.45-0.1447 x Age-0.2147 x Height. CONCLUSIONS: Using our normal data, the computed lower limits of the 95% prediction interval for the sural SNAP amplitude of an individual subject, depending on his age and height, were calculated. SIGNIFICANCE: The individualized normal values provided by our equation are essential for the correct interpretation of sural nerve studies.
Authors:
P Kokotis; D Mandellos; A Papagianni; N Karandreas
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Publication Detail:
Type:  Journal Article     Date:  2010-01-25
Journal Detail:
Title:  Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology     Volume:  121     ISSN:  1872-8952     ISO Abbreviation:  Clin Neurophysiol     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-08     Completed Date:  2010-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883319     Medline TA:  Clin Neurophysiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  561-3     Citation Subset:  IM    
Copyright Information:
2010. Published by Elsevier Ireland Ltd.
Affiliation:
University of Athens, Eginition Hospital 72-74 Vas. Sofias Avenue, Athens 11528, Greece. pkokotis@med.uoa.gr
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MeSH Terms
Descriptor/Qualifier:
Action Potentials / physiology*
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Body Height / physiology
Electrophysiology / methods
Female
Humans
Male
Middle Aged
Neural Conduction / physiology*
Predictive Value of Tests
Reaction Time / physiology
Reference Values
Sural Nerve / physiology*
Young Adult

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


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