A comparison of electrophysiological tests for the early diagnosis of diabetic neuropathy
Clinical criteria and several electrophysiological parameters for detecting nerve damage were compared in 99 patients with diabetes mellitus type 1 and type 2. Abnormal results were found in sural/radial amplitude ratio (51%), minimal F‐wave latency of the tibial nerve (36.4%), sensory conduction ve...
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| Veröffentlicht in: | Muscle & nerve 1999-12, Vol.22 (12), p.1667-1673 |
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| creator | Pastore, Carlos Izura, Virginia Geijo-Barrientos, Emilio Dominguez, Jose-Ramon |
| description | Clinical criteria and several electrophysiological parameters for detecting nerve damage were compared in 99 patients with diabetes mellitus type 1 and type 2. Abnormal results were found in sural/radial amplitude ratio (51%), minimal F‐wave latency of the tibial nerve (36.4%), sensory conduction velocity of the sural nerve (29.8%), and sural sensory nerve action potential amplitude (29.3%) when pooling data from all patients and comparing them to age‐ and height‐matched normal control subjects. Analysis of all the parameters revealed large differences between the diabetes mellitus type 1 and type 2 groups, suggesting that the type of diabetes must be taken into account when comparing the sensitivity of nerve conduction tests. In diabetes mellitus type 1, the sural/radial ratio had the clearest correlation with course of illness and was the first parameter to show a significant reduction. We conclude that the simple ratio between sural and radial amplitudes is a very sensitive parameter and abnormalities in this ratio provide the means for earliest detection of neuropathy in diabetes mellitus type 1. © 1999 John Wiley & Sons, Inc. Muscle Nerve 22: 1667–1673, 1999 |
| doi_str_mv | 10.1002/(SICI)1097-4598(199912)22:12<1667::AID-MUS8>3.0.CO;2-W |
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Abnormal results were found in sural/radial amplitude ratio (51%), minimal F‐wave latency of the tibial nerve (36.4%), sensory conduction velocity of the sural nerve (29.8%), and sural sensory nerve action potential amplitude (29.3%) when pooling data from all patients and comparing them to age‐ and height‐matched normal control subjects. Analysis of all the parameters revealed large differences between the diabetes mellitus type 1 and type 2 groups, suggesting that the type of diabetes must be taken into account when comparing the sensitivity of nerve conduction tests. In diabetes mellitus type 1, the sural/radial ratio had the clearest correlation with course of illness and was the first parameter to show a significant reduction. We conclude that the simple ratio between sural and radial amplitudes is a very sensitive parameter and abnormalities in this ratio provide the means for earliest detection of neuropathy in diabetes mellitus type 1. © 1999 John Wiley & Sons, Inc. 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Abnormal results were found in sural/radial amplitude ratio (51%), minimal F‐wave latency of the tibial nerve (36.4%), sensory conduction velocity of the sural nerve (29.8%), and sural sensory nerve action potential amplitude (29.3%) when pooling data from all patients and comparing them to age‐ and height‐matched normal control subjects. Analysis of all the parameters revealed large differences between the diabetes mellitus type 1 and type 2 groups, suggesting that the type of diabetes must be taken into account when comparing the sensitivity of nerve conduction tests. In diabetes mellitus type 1, the sural/radial ratio had the clearest correlation with course of illness and was the first parameter to show a significant reduction. We conclude that the simple ratio between sural and radial amplitudes is a very sensitive parameter and abnormalities in this ratio provide the means for earliest detection of neuropathy in diabetes mellitus type 1. © 1999 John Wiley & Sons, Inc. Muscle Nerve 22: 1667–1673, 1999</description><subject>Action Potentials - physiology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>diabetes mellitus</subject><subject>Diabetic Neuropathies - diagnosis</subject><subject>Diabetic Neuropathies - physiopathology</subject><subject>diabetic polyneuropathy</subject><subject>diagnostic sensitivity</subject><subject>Electrodiagnosis</subject><subject>Electrodiagnosis. Electric activity recording</subject><subject>Electrophysiology</subject><subject>F wave</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Motor Neurons - physiology</subject><subject>Nervous system</subject><subject>Neural Conduction - physiology</subject><subject>Neurons, Afferent - physiology</subject><subject>Radial Nerve - physiopathology</subject><subject>sensory nerve conduction studies</subject><subject>sural nerve</subject><subject>Sural Nerve - physiopathology</subject><subject>sural/radial ratio</subject><subject>Tibial Nerve - physiopathology</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1v0zAYhSMEYmXwF1AuENouUvwVx-7QpCobo9JGBd0oXL1yHWc1pHFnp4L8exJSbUggcWPrlc45evRE0SlGY4wQeXO0mOWzY4xklrBUiiMspcTkmJAJJm8x59lkMp2dJVc3C3FKx2icz09IsnwUje4rj6MRwkwknMovB9GzEL4hhLDg2dPoAKOUZyiTo-jrNNZus1XeBlfHroxNZXTj3XbdBusqd2u1quLGhCbEpfNxszaxUb5q48Kq29oFG_pWd6xMY3Vcm11XVs26fR49KVUVzIv9fxjdvDu_zt8nl_OLWT69TDSTQiRMS84kUQwhQUiJUoEwJQIXTGqJi4KotCNlxYpnaZrq0mDCKTJYSFYgw1N6GL0edrfe3e06UNjYoE1Vqdq4XQAuiRAi64Ofh6D2LgRvSth6u1G-BYyglw7QS4feIPQGYZAOhED39tIBOunQSwcKCPI5EFh2wy_3BLvVxhR_zA6Wu8CrfUCFTmfpVa1teMhRwhETD4A_bGXav-j-C_cPtt93N5wMwzY05uf9sPLfgWc0S2H54QLSqzN6vfj4CQT9BRDAuNE</recordid><startdate>199912</startdate><enddate>199912</enddate><creator>Pastore, Carlos</creator><creator>Izura, Virginia</creator><creator>Geijo-Barrientos, Emilio</creator><creator>Dominguez, Jose-Ramon</creator><general>John Wiley & Sons, Inc</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199912</creationdate><title>A comparison of electrophysiological tests for the early diagnosis of diabetic neuropathy</title><author>Pastore, Carlos ; Izura, Virginia ; Geijo-Barrientos, Emilio ; Dominguez, Jose-Ramon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4988-4c96492a400822f058013281d49c91dd2a57074db67555cfe12630e1894d0e653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Action Potentials - physiology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>diabetes mellitus</topic><topic>Diabetic Neuropathies - diagnosis</topic><topic>Diabetic Neuropathies - physiopathology</topic><topic>diabetic polyneuropathy</topic><topic>diagnostic sensitivity</topic><topic>Electrodiagnosis</topic><topic>Electrodiagnosis. Electric activity recording</topic><topic>Electrophysiology</topic><topic>F wave</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Motor Neurons - physiology</topic><topic>Nervous system</topic><topic>Neural Conduction - physiology</topic><topic>Neurons, Afferent - physiology</topic><topic>Radial Nerve - physiopathology</topic><topic>sensory nerve conduction studies</topic><topic>sural nerve</topic><topic>Sural Nerve - physiopathology</topic><topic>sural/radial ratio</topic><topic>Tibial Nerve - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pastore, Carlos</creatorcontrib><creatorcontrib>Izura, Virginia</creatorcontrib><creatorcontrib>Geijo-Barrientos, Emilio</creatorcontrib><creatorcontrib>Dominguez, Jose-Ramon</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Muscle & nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pastore, Carlos</au><au>Izura, Virginia</au><au>Geijo-Barrientos, Emilio</au><au>Dominguez, Jose-Ramon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of electrophysiological tests for the early diagnosis of diabetic neuropathy</atitle><jtitle>Muscle & nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>1999-12</date><risdate>1999</risdate><volume>22</volume><issue>12</issue><spage>1667</spage><epage>1673</epage><pages>1667-1673</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><coden>MUNEDE</coden><abstract>Clinical criteria and several electrophysiological parameters for detecting nerve damage were compared in 99 patients with diabetes mellitus type 1 and type 2. Abnormal results were found in sural/radial amplitude ratio (51%), minimal F‐wave latency of the tibial nerve (36.4%), sensory conduction velocity of the sural nerve (29.8%), and sural sensory nerve action potential amplitude (29.3%) when pooling data from all patients and comparing them to age‐ and height‐matched normal control subjects. Analysis of all the parameters revealed large differences between the diabetes mellitus type 1 and type 2 groups, suggesting that the type of diabetes must be taken into account when comparing the sensitivity of nerve conduction tests. In diabetes mellitus type 1, the sural/radial ratio had the clearest correlation with course of illness and was the first parameter to show a significant reduction. We conclude that the simple ratio between sural and radial amplitudes is a very sensitive parameter and abnormalities in this ratio provide the means for earliest detection of neuropathy in diabetes mellitus type 1. © 1999 John Wiley & Sons, Inc. Muscle Nerve 22: 1667–1673, 1999</abstract><cop>New York</cop><pub>John Wiley & Sons, Inc</pub><pmid>10567079</pmid><doi>10.1002/(SICI)1097-4598(199912)22:12<1667::AID-MUS8>3.0.CO;2-W</doi><tpages>7</tpages></addata></record> |
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| subjects | Action Potentials - physiology Adolescent Adult Aged Biological and medical sciences Child diabetes mellitus Diabetic Neuropathies - diagnosis Diabetic Neuropathies - physiopathology diabetic polyneuropathy diagnostic sensitivity Electrodiagnosis Electrodiagnosis. Electric activity recording Electrophysiology F wave Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Motor Neurons - physiology Nervous system Neural Conduction - physiology Neurons, Afferent - physiology Radial Nerve - physiopathology sensory nerve conduction studies sural nerve Sural Nerve - physiopathology sural/radial ratio Tibial Nerve - physiopathology |
| title | A comparison of electrophysiological tests for the early diagnosis of diabetic neuropathy |
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