A review of nerve conduction studies in cases of suspected compression neuropathies of the upper limb.

Hdl Handle:
http://hdl.handle.net/10147/200733
Title:
A review of nerve conduction studies in cases of suspected compression neuropathies of the upper limb.
Authors:
Neligan, A; O'Sullivan, S S; Mullins, G M; McCarthy, A; Kowalski, R G; Kinsella, J; McNamara, B
Affiliation:
Department of Neurophysiology, Cork University Hospital, Cork, Ireland.
Citation:
A review of nerve conduction studies in cases of suspected compression neuropathies of the upper limb. 2010, 63 (1):11-6 Eur. Neurol.
Publisher:
Karger
Journal:
European neurology
Issue Date:
2010
URI:
http://hdl.handle.net/10147/200733
DOI:
10.1159/000258635
PubMed ID:
19923839
Abstract:
Entrapment neuropathies, particularly those affecting upper limbs, are common reasons for referral for nerve conduction studies (NCS). However, concordance between clinical findings and NCS findings, especially in patients being considered for intervention including decompressive surgery, has not been assessed.; We conducted a retrospective study using records from a tertiary referral centre's neurophysiology database. We aimed to establish the proportions of agreement between the suspected clinical diagnosis as defined by the referring clinician and NCS findings in the setting of an upper limb entrapment neuropathy.; Of the 571 referrals for NCS, suspected bilateral carpal tunnel syndrome was the commonest reason for referral (30.5%). In total, there was 51.5% concordance between suspected clinical diagnosis and NCS findings. Patients with NCS evidence of an entrapment neuropathy (n = 437) were more likely to be older compared to those with normal studies (54.0 +/- 15.6 years vs. 45.9 +/- 13.4 years, p < 0.001). Those with normal NCS findings were more likely to be female (72%, p = 0.001). An alternative or additional diagnosis was found in 14%.; This study raises concerns regarding the appropriateness of referral for decompressive surgery based on clinical diagnosis alone as many have an additional or alternative diagnosis as suggested by NCS findings.
Item Type:
Article
Language:
en
MeSH:
Age Factors; Arm; Carpal Tunnel Syndrome; Female; Humans; Male; Middle Aged; Nerve Compression Syndromes; Neural Conduction; Retrospective Studies; Sex Factors
ISSN:
1421-9913

Full metadata record

DC FieldValue Language
dc.contributor.authorNeligan, Aen
dc.contributor.authorO'Sullivan, S Sen
dc.contributor.authorMullins, G Men
dc.contributor.authorMcCarthy, Aen
dc.contributor.authorKowalski, R Gen
dc.contributor.authorKinsella, Jen
dc.contributor.authorMcNamara, Ben
dc.date.accessioned2012-01-06T15:07:41Z-
dc.date.available2012-01-06T15:07:41Z-
dc.date.issued2010-
dc.identifier.citationA review of nerve conduction studies in cases of suspected compression neuropathies of the upper limb. 2010, 63 (1):11-6 Eur. Neurol.en
dc.identifier.issn1421-9913-
dc.identifier.pmid19923839-
dc.identifier.doi10.1159/000258635-
dc.identifier.urihttp://hdl.handle.net/10147/200733-
dc.description.abstractEntrapment neuropathies, particularly those affecting upper limbs, are common reasons for referral for nerve conduction studies (NCS). However, concordance between clinical findings and NCS findings, especially in patients being considered for intervention including decompressive surgery, has not been assessed.-
dc.description.abstractWe conducted a retrospective study using records from a tertiary referral centre's neurophysiology database. We aimed to establish the proportions of agreement between the suspected clinical diagnosis as defined by the referring clinician and NCS findings in the setting of an upper limb entrapment neuropathy.-
dc.description.abstractOf the 571 referrals for NCS, suspected bilateral carpal tunnel syndrome was the commonest reason for referral (30.5%). In total, there was 51.5% concordance between suspected clinical diagnosis and NCS findings. Patients with NCS evidence of an entrapment neuropathy (n = 437) were more likely to be older compared to those with normal studies (54.0 +/- 15.6 years vs. 45.9 +/- 13.4 years, p < 0.001). Those with normal NCS findings were more likely to be female (72%, p = 0.001). An alternative or additional diagnosis was found in 14%.-
dc.description.abstractThis study raises concerns regarding the appropriateness of referral for decompressive surgery based on clinical diagnosis alone as many have an additional or alternative diagnosis as suggested by NCS findings.-
dc.language.isoenen
dc.publisherKargeren
dc.subject.meshAge Factors-
dc.subject.meshArm-
dc.subject.meshCarpal Tunnel Syndrome-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNerve Compression Syndromes-
dc.subject.meshNeural Conduction-
dc.subject.meshRetrospective Studies-
dc.subject.meshSex Factors-
dc.titleA review of nerve conduction studies in cases of suspected compression neuropathies of the upper limb.en
dc.typeArticleen
dc.contributor.departmentDepartment of Neurophysiology, Cork University Hospital, Cork, Ireland.en
dc.identifier.journalEuropean neurologyen
dc.description.provinceMunster-

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