Sural and medial plantar nerve conduction study in the diagnosis of subclinical diabetic neuropathy

Md Musleh Uddin Hasan, A. Shokry, Sara Mohamad, Ali El
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引用次数: 1

Abstract

Background and Aim Diabetic peripheral neuropathy is one of the most challenging complications of diabetes mellitus. A large number of patients have subclinical neuropathy at the time of detection of diabetes. Proper detection of subclinical diabetic neuropathy is important to prevent more complications. When the symptoms start, there are not many effective therapeutic treatments. Nerve conduction studies (NCS) are known to be sensitive, reliable, noninvasive, and easy to perform to study diabetic neuropathy. Study of the medial plantar and sural nerves can test the most distal parts of the nerves and can be considered an alternative method for the diagnosis of polyneuropathy in the early stages. The aim of this work is to study the utility of both medial plantar and sural nerve conduction in the early diagnosis of diabetic polyneuropathy. Patients and methods Twenty diabetic asymptomatic patients and 20 healthy volunteers of both sexes were included. Their ages ranged between 26 and 44 years and 24 and 46 years, respectively. NCS of the medial plantar and sural nerves for all the patients and control groups is performed using the antidromic method of stimulation for sural nerve and orthodromic stimulation for the medial plantar nerve. Results There were significant changes in the sensory study of both medial plantar and sural nerves of neurologically asymptomatic diabetic patients compared with the control. Conclusion NCS of both medial plantar and sural nerves aids in the detection of subclinical diabetic polyneuropathy.
腓肠和内侧足底神经传导在亚临床糖尿病神经病变诊断中的研究
背景与目的糖尿病周围神经病变是糖尿病最具挑战性的并发症之一。大量患者在检测到糖尿病时有亚临床神经病变。正确检测亚临床糖尿病神经病变对于预防更多并发症很重要。当症状开始时,没有太多有效的治疗方法。众所周知,神经传导研究(NCS)对糖尿病神经病变的研究是敏感、可靠、无创和易于进行的。对内侧足底和腓肠神经的研究可以测试神经的最远端部分,可以被认为是早期诊断多发性神经病的一种替代方法。这项工作的目的是研究足底内侧和腓肠神经传导在糖尿病多发性神经病早期诊断中的作用。患者和方法包括20名糖尿病无症状患者和20名健康志愿者。他们的年龄分别在26至44岁和24至46岁之间。所有患者和对照组的足底内侧神经和腓肠神经的NCS是使用刺激腓肠神经的逆行方法和刺激足底内侧神经的顺位刺激方法进行的。结果与对照组相比,神经系统无症状糖尿病患者足底内侧神经和腓肠神经的感觉研究均有显著变化。结论足底内侧神经和腓肠神经的NCS有助于亚临床糖尿病多发性神经病的检测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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