Hoogstins, C.E.S. (2012) Electrodiagnostic Findings and Clinical Symptoms of the Contralateral Side in Patients with Abnormal Distal Sensory Latency of the Median Nerve. thesis, Medicine.
Full text available on request.Abstract
Purpose: There is evidence that carpal tunnel syndrome is a genetic/structural, bilateral disease. The purpose of this study was to determine whether worsening of median nerve distal sensory latency conduction on patient’s worst side is associated with the occurrence of electrodiagnostic findings suggestive of carpal tunnel syndrome on the contralateral side. We also studied the occurrence of bilateral carpal tunnel syndrome-related symptoms and factors associated with electrodiagnostic evidence of carpal tunnel syndrome on the contralateral side. Methods: We retrospectively reviewed 233 adult patients that had bilateral electrodiagnostic testing and a distal sensory latency greater than 3.6 ms on at least one side. Variables significantly associated with abnormal median nerve distal sensory latency on the contralateral side were analyzed in bivariate analysis and backwards stepwise logistic regression analysis. Results: The contralateral side had electrodiagnostic abnormalities in 73% and clinical symptoms in 76% of patients. Age and median nerve distal sensory latency of the worst side were significantly associated with median nerve distal sensory latency on the contralateral side. Discussion: Non-recordable distal sensory latency is strongly significantly associated with abnormal distal sensory latency on the contralateral side. These data suggest that as carpal tunnel syndrome advances, pathology appears on the contralateral side. Level of evidence: Prognostic II
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Faculty Supervisor: and Nijholt, I.M. PhD |
| Supervisor name: | Supervisor: and Ring, D. MD and Massachusetts General Hospital, Department of Orthopaedic Ha |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:47 |
| Last Modified: | 25 Jun 2020 10:47 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/850 |
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