Comparison of cross‐sectional areas and distal‐proximal nerve ratios in amyotrophic lateral sclerosis
ABSTRACT Introduction: This study explored potential diagnostic markers of nerve ultrasound in differentiating amyotrophic lateral sclerosis (ALS) from mimic disorders. Methods: Ultrasound of the median, ulnar, and tibial nerves was conducted in 53 patients with ALS, 32 patients with ALS‐mimic disor...
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| Veröffentlicht in: | Muscle & nerve 2018-12, Vol.58 (6), p.777-783 |
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| creator | Noto, Yu‐Ichi Garg, Nidhi Li, Tiffany Timmins, Hannah C. Park, Susanna B. Shibuya, Kazumoto Shahrizaila, Nortina Huynh, William Matamala, José M. Dharmadasa, Thanuja Yiannikas, Con Vucic, Steve Kiernan, Matthew C. |
| description | ABSTRACT
Introduction: This study explored potential diagnostic markers of nerve ultrasound in differentiating amyotrophic lateral sclerosis (ALS) from mimic disorders. Methods: Ultrasound of the median, ulnar, and tibial nerves was conducted in 53 patients with ALS, 32 patients with ALS‐mimic disorders, and 30 controls. Nerve cross‐sectional area (CSA) and distal–proximal ratios were calculated. Results: The median nerve CSA in the upper arm was decreased (7.9 ± 1.3 mm2 vs. 9.0 ± 1.4 mm2, P |
| doi_str_mv | 10.1002/mus.26301 |
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Introduction: This study explored potential diagnostic markers of nerve ultrasound in differentiating amyotrophic lateral sclerosis (ALS) from mimic disorders. Methods: Ultrasound of the median, ulnar, and tibial nerves was conducted in 53 patients with ALS, 32 patients with ALS‐mimic disorders, and 30 controls. Nerve cross‐sectional area (CSA) and distal–proximal ratios were calculated. Results: The median nerve CSA in the upper arm was decreased (7.9 ± 1.3 mm2 vs. 9.0 ± 1.4 mm2, P < 0.05), and the median nerve wrist–upper arm ratio was increased in ALS patients compared with controls (1.3 ± 0.4 vs. 1.1 ± 0.2; P < 0.01). In differentiating ALS from mimic presentations, assessment of median nerve CSA in the upper arm and comparison of a median and ulnar nerve CSA distal–proximal ratio provide diagnostic potential. Discussion: Assessment of nerve CSA combined with calculation of nerve CSA distal–proximal ratio provides a useful marker to aid in the diagnosis of ALS. Muscle Nerve 58:777–783, 2018</description><identifier>ISSN: 0148-639X</identifier><identifier>EISSN: 1097-4598</identifier><identifier>DOI: 10.1002/mus.26301</identifier><identifier>PMID: 30019401</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Amyotrophic lateral sclerosis ; Diagnostic systems ; Disorders ; Mathematical analysis ; Median nerve ; multifocal motor neuropathy ; Muscles ; Nerves ; Patients ; peripheral nerve ; peripheral nerve hyperexcitability syndrome ; Ultrasonic imaging ; Ultrasonic testing ; Ultrasound ; Wrist</subject><ispartof>Muscle & nerve, 2018-12, Vol.58 (6), p.777-783</ispartof><rights>2018 Wiley Periodicals, Inc</rights><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4191-3cbf43ea29a8afa377f814b584b7dca71b566370cc5193817b1effe1dfe5f23a3</citedby><cites>FETCH-LOGICAL-c4191-3cbf43ea29a8afa377f814b584b7dca71b566370cc5193817b1effe1dfe5f23a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmus.26301$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmus.26301$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30019401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Noto, Yu‐Ichi</creatorcontrib><creatorcontrib>Garg, Nidhi</creatorcontrib><creatorcontrib>Li, Tiffany</creatorcontrib><creatorcontrib>Timmins, Hannah C.</creatorcontrib><creatorcontrib>Park, Susanna B.</creatorcontrib><creatorcontrib>Shibuya, Kazumoto</creatorcontrib><creatorcontrib>Shahrizaila, Nortina</creatorcontrib><creatorcontrib>Huynh, William</creatorcontrib><creatorcontrib>Matamala, José M.</creatorcontrib><creatorcontrib>Dharmadasa, Thanuja</creatorcontrib><creatorcontrib>Yiannikas, Con</creatorcontrib><creatorcontrib>Vucic, Steve</creatorcontrib><creatorcontrib>Kiernan, Matthew C.</creatorcontrib><title>Comparison of cross‐sectional areas and distal‐proximal nerve ratios in amyotrophic lateral sclerosis</title><title>Muscle & nerve</title><addtitle>Muscle Nerve</addtitle><description>ABSTRACT
Introduction: This study explored potential diagnostic markers of nerve ultrasound in differentiating amyotrophic lateral sclerosis (ALS) from mimic disorders. Methods: Ultrasound of the median, ulnar, and tibial nerves was conducted in 53 patients with ALS, 32 patients with ALS‐mimic disorders, and 30 controls. Nerve cross‐sectional area (CSA) and distal–proximal ratios were calculated. Results: The median nerve CSA in the upper arm was decreased (7.9 ± 1.3 mm2 vs. 9.0 ± 1.4 mm2, P < 0.05), and the median nerve wrist–upper arm ratio was increased in ALS patients compared with controls (1.3 ± 0.4 vs. 1.1 ± 0.2; P < 0.01). In differentiating ALS from mimic presentations, assessment of median nerve CSA in the upper arm and comparison of a median and ulnar nerve CSA distal–proximal ratio provide diagnostic potential. Discussion: Assessment of nerve CSA combined with calculation of nerve CSA distal–proximal ratio provides a useful marker to aid in the diagnosis of ALS. Muscle Nerve 58:777–783, 2018</description><subject>Amyotrophic lateral sclerosis</subject><subject>Diagnostic systems</subject><subject>Disorders</subject><subject>Mathematical analysis</subject><subject>Median nerve</subject><subject>multifocal motor neuropathy</subject><subject>Muscles</subject><subject>Nerves</subject><subject>Patients</subject><subject>peripheral nerve</subject><subject>peripheral nerve hyperexcitability syndrome</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonic testing</subject><subject>Ultrasound</subject><subject>Wrist</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp10MFu1DAQBmALgdpt6YEXQJa40ENaT-zEzhGtoFQq4gCVuEUTZyxcJfFiJ6V76yP0GXkSvGzLAYmTR5pPvzw_Y69AnIEQ5fm4pLOylgKesRWIRheqasxzthKgTFHL5tshO0rpRggBptYH7FDmqVECVsyvw7jB6FOYeHDcxpDSr_uHRHb2YcKBYyRMHKee9z7NOOTlJoY7P-bdRPGWeMRME_cTx3Eb5hg2373lA84Us0l2oBzq00v2wuGQ6OTxPWbXH95_XX8srj5fXK7fXRVWQQOFtJ1TkrBs0KBDqbUzoLrKqE73FjV0VV1LLaytoJEGdAfkHEHvqHKlRHnM3u5z8zd_LJTmdvTJ0jDgRGFJbSk0VAagVJm--YfehCXmq7OCSstSGyWyOt2rP-VEcu0m5vPjtgXR7vpvx13srv9sXz8mLt1I_V_5VHgG53vw0w-0_X9S--n6yz7yN_Yjku8</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Noto, Yu‐Ichi</creator><creator>Garg, Nidhi</creator><creator>Li, Tiffany</creator><creator>Timmins, Hannah C.</creator><creator>Park, Susanna B.</creator><creator>Shibuya, Kazumoto</creator><creator>Shahrizaila, Nortina</creator><creator>Huynh, William</creator><creator>Matamala, José M.</creator><creator>Dharmadasa, Thanuja</creator><creator>Yiannikas, Con</creator><creator>Vucic, Steve</creator><creator>Kiernan, Matthew C.</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201812</creationdate><title>Comparison of cross‐sectional areas and distal‐proximal nerve ratios in amyotrophic lateral sclerosis</title><author>Noto, Yu‐Ichi ; Garg, Nidhi ; Li, Tiffany ; Timmins, Hannah C. ; Park, Susanna B. ; Shibuya, Kazumoto ; Shahrizaila, Nortina ; Huynh, William ; Matamala, José M. ; Dharmadasa, Thanuja ; Yiannikas, Con ; Vucic, Steve ; Kiernan, Matthew C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4191-3cbf43ea29a8afa377f814b584b7dca71b566370cc5193817b1effe1dfe5f23a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Amyotrophic lateral sclerosis</topic><topic>Diagnostic systems</topic><topic>Disorders</topic><topic>Mathematical analysis</topic><topic>Median nerve</topic><topic>multifocal motor neuropathy</topic><topic>Muscles</topic><topic>Nerves</topic><topic>Patients</topic><topic>peripheral nerve</topic><topic>peripheral nerve hyperexcitability syndrome</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonic testing</topic><topic>Ultrasound</topic><topic>Wrist</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Noto, Yu‐Ichi</creatorcontrib><creatorcontrib>Garg, Nidhi</creatorcontrib><creatorcontrib>Li, Tiffany</creatorcontrib><creatorcontrib>Timmins, Hannah C.</creatorcontrib><creatorcontrib>Park, Susanna B.</creatorcontrib><creatorcontrib>Shibuya, Kazumoto</creatorcontrib><creatorcontrib>Shahrizaila, Nortina</creatorcontrib><creatorcontrib>Huynh, William</creatorcontrib><creatorcontrib>Matamala, José M.</creatorcontrib><creatorcontrib>Dharmadasa, Thanuja</creatorcontrib><creatorcontrib>Yiannikas, Con</creatorcontrib><creatorcontrib>Vucic, Steve</creatorcontrib><creatorcontrib>Kiernan, Matthew C.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Muscle & nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Noto, Yu‐Ichi</au><au>Garg, Nidhi</au><au>Li, Tiffany</au><au>Timmins, Hannah C.</au><au>Park, Susanna B.</au><au>Shibuya, Kazumoto</au><au>Shahrizaila, Nortina</au><au>Huynh, William</au><au>Matamala, José M.</au><au>Dharmadasa, Thanuja</au><au>Yiannikas, Con</au><au>Vucic, Steve</au><au>Kiernan, Matthew C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of cross‐sectional areas and distal‐proximal nerve ratios in amyotrophic lateral sclerosis</atitle><jtitle>Muscle & nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>2018-12</date><risdate>2018</risdate><volume>58</volume><issue>6</issue><spage>777</spage><epage>783</epage><pages>777-783</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><abstract>ABSTRACT
Introduction: This study explored potential diagnostic markers of nerve ultrasound in differentiating amyotrophic lateral sclerosis (ALS) from mimic disorders. Methods: Ultrasound of the median, ulnar, and tibial nerves was conducted in 53 patients with ALS, 32 patients with ALS‐mimic disorders, and 30 controls. Nerve cross‐sectional area (CSA) and distal–proximal ratios were calculated. Results: The median nerve CSA in the upper arm was decreased (7.9 ± 1.3 mm2 vs. 9.0 ± 1.4 mm2, P < 0.05), and the median nerve wrist–upper arm ratio was increased in ALS patients compared with controls (1.3 ± 0.4 vs. 1.1 ± 0.2; P < 0.01). In differentiating ALS from mimic presentations, assessment of median nerve CSA in the upper arm and comparison of a median and ulnar nerve CSA distal–proximal ratio provide diagnostic potential. Discussion: Assessment of nerve CSA combined with calculation of nerve CSA distal–proximal ratio provides a useful marker to aid in the diagnosis of ALS. Muscle Nerve 58:777–783, 2018</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30019401</pmid><doi>10.1002/mus.26301</doi><tpages>7</tpages></addata></record> |
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| subjects | Amyotrophic lateral sclerosis Diagnostic systems Disorders Mathematical analysis Median nerve multifocal motor neuropathy Muscles Nerves Patients peripheral nerve peripheral nerve hyperexcitability syndrome Ultrasonic imaging Ultrasonic testing Ultrasound Wrist |
| title | Comparison of cross‐sectional areas and distal‐proximal nerve ratios in amyotrophic lateral sclerosis |
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