Revisiting the Urge to Operate: One-Year Neurophysiological Follow-up in Severe CTS
Background and Importance: approaches have been proposed for the treatment of carpal tunnel syndrome (CTS) based on its severity. The aim of this study is to determine the optimal management for severe CTS. Methods and Materials/Patients: This cross-sectional study was conducted for 22 months from A...
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Guilan University of Medical Sciences
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ftdoajarticles:oai:doaj.org/article:4f81d1a75e554001b2852238f11900ef 2023-05-15T16:02:05+02:00 Revisiting the Urge to Operate: One-Year Neurophysiological Follow-up in Severe CTS Alireza Ashraf Zahra Hooshanginezhad Attiyeh Vasaghi Nima Derakhshan 2020-01-01T00:00:00Z https://doaj.org/article/4f81d1a75e554001b2852238f11900ef EN eng Guilan University of Medical Sciences http://irjns.org/article-1-194-en.html https://doaj.org/toc/2423-6497 2423-6497 https://doaj.org/article/4f81d1a75e554001b2852238f11900ef Iranian Journal of Neurosurgery, Vol 6, Iss 1, Pp 4-4 (2020) electrodiagnostic study carpal tunnel syndrome boston questionnaire conservative treatment sensory nerve action Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 article 2020 ftdoajarticles 2022-12-31T13:18:27Z Background and Importance: approaches have been proposed for the treatment of carpal tunnel syndrome (CTS) based on its severity. The aim of this study is to determine the optimal management for severe CTS. Methods and Materials/Patients: This cross-sectional study was conducted for 22 months from August 2017 to June 2019 in a referral rehabilitation clinic in southern Iran. A total of 117 hands diagnosed with severe CTS were included in 78 patients according to electrodiagnostic study (EDX) reports (considering Sensory Proximal Latency (SPL)>3.6 msec, Sensory Distal Latency (SDL)>5.3 msec, Sensory Nerve Conduction Velocity (SNCV) <30 m/sec, Distal Motor Latency (DML)>6.5 msec as being severe) who refused to undergo surgery. Boston questionnaire was filled out and conventional EDX was carried out at the first and the 1-year follow-up visits. Results: In patients with a detectable sensory nerve action potential (SNAP), motor amplitude (P<0.002) and latency (p<0.01), SPL (p<0.003) and SNCV (p<0.006), and Boston parameters improved significantly in the 1-year follow-up visit compared with the results at the first visit. However, improvement in patients with absent or low amplitude SNAP at first visit was only observed in proximal sensory latency (p<0.005) and amplitude (p<0.003). Conclusion: There is a considerable chance for non-surgical improvement of patients with severe CTS in terms of symptom relief, hand function, and EDX parameters in those with detectable SNAP at first visit; however, patients with undetectable SNAP have little, if any, the chance for improvement with conservative measures. Article in Journal/Newspaper DML Directory of Open Access Journals: DOAJ Articles |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
electrodiagnostic study carpal tunnel syndrome boston questionnaire conservative treatment sensory nerve action Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 |
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electrodiagnostic study carpal tunnel syndrome boston questionnaire conservative treatment sensory nerve action Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Alireza Ashraf Zahra Hooshanginezhad Attiyeh Vasaghi Nima Derakhshan Revisiting the Urge to Operate: One-Year Neurophysiological Follow-up in Severe CTS |
topic_facet |
electrodiagnostic study carpal tunnel syndrome boston questionnaire conservative treatment sensory nerve action Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 |
description |
Background and Importance: approaches have been proposed for the treatment of carpal tunnel syndrome (CTS) based on its severity. The aim of this study is to determine the optimal management for severe CTS. Methods and Materials/Patients: This cross-sectional study was conducted for 22 months from August 2017 to June 2019 in a referral rehabilitation clinic in southern Iran. A total of 117 hands diagnosed with severe CTS were included in 78 patients according to electrodiagnostic study (EDX) reports (considering Sensory Proximal Latency (SPL)>3.6 msec, Sensory Distal Latency (SDL)>5.3 msec, Sensory Nerve Conduction Velocity (SNCV) <30 m/sec, Distal Motor Latency (DML)>6.5 msec as being severe) who refused to undergo surgery. Boston questionnaire was filled out and conventional EDX was carried out at the first and the 1-year follow-up visits. Results: In patients with a detectable sensory nerve action potential (SNAP), motor amplitude (P<0.002) and latency (p<0.01), SPL (p<0.003) and SNCV (p<0.006), and Boston parameters improved significantly in the 1-year follow-up visit compared with the results at the first visit. However, improvement in patients with absent or low amplitude SNAP at first visit was only observed in proximal sensory latency (p<0.005) and amplitude (p<0.003). Conclusion: There is a considerable chance for non-surgical improvement of patients with severe CTS in terms of symptom relief, hand function, and EDX parameters in those with detectable SNAP at first visit; however, patients with undetectable SNAP have little, if any, the chance for improvement with conservative measures. |
format |
Article in Journal/Newspaper |
author |
Alireza Ashraf Zahra Hooshanginezhad Attiyeh Vasaghi Nima Derakhshan |
author_facet |
Alireza Ashraf Zahra Hooshanginezhad Attiyeh Vasaghi Nima Derakhshan |
author_sort |
Alireza Ashraf |
title |
Revisiting the Urge to Operate: One-Year Neurophysiological Follow-up in Severe CTS |
title_short |
Revisiting the Urge to Operate: One-Year Neurophysiological Follow-up in Severe CTS |
title_full |
Revisiting the Urge to Operate: One-Year Neurophysiological Follow-up in Severe CTS |
title_fullStr |
Revisiting the Urge to Operate: One-Year Neurophysiological Follow-up in Severe CTS |
title_full_unstemmed |
Revisiting the Urge to Operate: One-Year Neurophysiological Follow-up in Severe CTS |
title_sort |
revisiting the urge to operate: one-year neurophysiological follow-up in severe cts |
publisher |
Guilan University of Medical Sciences |
publishDate |
2020 |
url |
https://doaj.org/article/4f81d1a75e554001b2852238f11900ef |
genre |
DML |
genre_facet |
DML |
op_source |
Iranian Journal of Neurosurgery, Vol 6, Iss 1, Pp 4-4 (2020) |
op_relation |
http://irjns.org/article-1-194-en.html https://doaj.org/toc/2423-6497 2423-6497 https://doaj.org/article/4f81d1a75e554001b2852238f11900ef |
_version_ |
1766397703286161408 |