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

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    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.
    Issue Date
    2010
    MeSH
    Age Factors
    Arm
    Carpal Tunnel Syndrome
    Female
    Humans
    Male
    Middle Aged
    Nerve Compression Syndromes
    Neural Conduction
    Retrospective Studies
    Sex Factors
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    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
    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
    ISSN
    1421-9913
    ae974a485f413a2113503eed53cd6c53
    10.1159/000258635
    Scopus Count
    Collections
    Cork University Hospital

    entitlement

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