Araştırma Makalesi
Yıl 2025,
EARLY ONLINE, 1 - 8
Öz
Kaynakça
- 1. Sumner CJ, Sheth S, Griffin JW, Cornblath DR, Polydefkis M. The spectrum of neuropathy in diabetes and impaired glucose tolerance. Neurology. 2003;60(1):108-111. doi: 10.1212/wnl.60.1.108.
- 2. Singleton JR. Evaluation and treatment of painful peripheral polyneuropathy. Semin Neurol. 2005;25(2):185-195. doi:10.1055/s-2005-871327.
- 3. Oh SJ, Melo AC, Lee DK, et al. Large-fiber neuropathy in distal sensory neuropathy with normal routine nerve conduction. Neurology. 2001;56(11):1570-1572. doi:10.1212/wnl.56.11.1570.
- 4. Killian JM, Foreman PJ. Clinical utility of dorsal sural nerve conduction studies. Muscle Nerve. 2001;24(6):817-820. doi:10.1002/mus.1074.
- 5. Nodera H, Logigian EL, Herrmann DN. Class of nerve fiber involvement in sensory neuropathies: clinical characterization and utility of the plantar nerve action potential. Muscle Nerve. 2002;26(2):212-217. doi:10.1002/mus.10196.
- 6. Herrmann DN, Ferguson ML, Pannoni V, Barbano RL, Stanton M, Logigian EL. Plantar nerve AP and skin biopsy in sensory neuropathies with normal routine conduction studies. Neurology. 2004;63(5):879-885. doi:10.1212/01.wnl.0000137036.26601.84.
- 7. Meijer JWG, Bosma E, Lefrandt JD, et al. Clinical diagnosis of diabetic polyneuropathy with the diabetic neuropathy symptoms and diabetic neuropathy examination scores. Diabetes Care. 2003;26(3):697-701. doi:10.2337/diacare.26.3.697.
- 8. Oh SJ. Clinical Electromyography: Nerve Conduction Studies. 2nd ed. Baltimore: Williams & Wilkins; 1993.
- 9. Ricciardi D, Galiero R, Todisco V, et al. Neurophysiological assessment of peripheral neuropathy through whole plantar nerve conduction in type 2 diabetes mellitus and healthy control subjects. Metab Target Organ Damage. 2024;4(3):24. doi: 10.20517/mtod.2024.20.
- 10. An JY, Park MS, Kim JS, et al. Comparison of diabetic neuropathy symptom score and medial plantar sensory nerve conduction studies in diabetic patients showing normal routine nerve conduction studies. Intern Med. 2008;47(15):1395-1398. doi: 10.2169/internalmedicine.47.0901.
- 11. Altun Y, Demirkol A, Tumay Y, et al. The medial plantar and medial peroneal cutaneous nerve conduction studies for diabetic polyneuropathy. Neurol Sci. 2011;32(5):849-854. doi: 10.1007/s10072-011-0669-2.
- 12. Uluc K, Isak B, Borucu D, et al. Medial plantar and dorsal sural nerve conduction studies increase the sensitivity in the detection of neuropathy in diabetic patients. Clin Neurophysiol. 2008;119(4):880-885. doi: 10.1016/j.clinph.2008.01.001.
- 13. Mendell JR, Kissel JT, Cornblath DR. Editors. Diagnosis and Management of Peripheral Nerve Disorders. Oxford University Press: Oxford, 2001.
- 14. Lee KW, Oh SJ. Early appearance of aging phenomenon in the interdigital nerves of the foot. Muscle Nerve. 1994;17(1):58-63. doi:10.1002/mus.880170108.
- 15. Loseth S, Nebuchennykh M, Stalberg E, Mellgren SI. Medial plantar nerve conduction studies in healthy controls and diabetics. Clin Neurophysiol. 2007;118(5):1155-1161. doi: 10.1016/j.clinph.2007.01.008.
- 16. Keskin G, Kahraman Koytak P, Bastan B, Tanridag T, Us O, Uluc K. The reliability of medial and lateral plantar nerve recordings in healthy elderly individuals. Neurol Sci. 2015;36(6):883-888. doi: 10.1007/s10072-014-2056-2.
The role of medial plantar nerve conduction studies in the diagnosis of diabetic polyneuropathy: A comparative analysis with sural nerve
Öz
Objectives: Diabetic neuropathy, significantly impacts patients' quality of life and may lead to severe morbidity in the long term. Early detection of diabetic neuropathy is crucial in preventing or delaying irreversible damage. In this study, we aimed to evaluate the role of medial plantar nerve conduction studies in the early diagnosis of diabetic polyneuropathy and to determine which of the examined nerve conduction studies demonstrates higher sensitivity.
Methods: Sixty patients with suspected diabetic polyneuropathy and 30 healthy controls were included. Diabetic neuropathy symptoms were assessed using the Diabetic Neuropathy Symptom (DNS) score. Sensory and motor nerve conduction studies, including median, ulnar, posterior tibial, medial plantar, and sural nerves, were performed.
Results: Sensory response amplitudes of both medial plantar and sural nerves were significantly lower in patients compared to controls. Abnormal sensory responses were detected in 23 (38.33%) patients for the sural nerve and 39 (65%) for the medial plantar nerve.
Conclusions: Both nerve conduction studies are valuable in diagnosing diabetic polyneuropathy, but medial plantar nerve conduction studies demonstrated higher sensitivity. Including medial plantar nerve assessments in routine evaluations may improve diagnostic accuracy.
Anahtar Kelimeler
Etik Beyan
The study was approved by the Istanbul Training and Research Hospital Clinical Research Ethics Committee (Decision no.: 148 and date: 15.06.2012). Informed consent forms were obtained from all patients and healthy volunteers.
Kaynakça
- 1. Sumner CJ, Sheth S, Griffin JW, Cornblath DR, Polydefkis M. The spectrum of neuropathy in diabetes and impaired glucose tolerance. Neurology. 2003;60(1):108-111. doi: 10.1212/wnl.60.1.108.
- 2. Singleton JR. Evaluation and treatment of painful peripheral polyneuropathy. Semin Neurol. 2005;25(2):185-195. doi:10.1055/s-2005-871327.
- 3. Oh SJ, Melo AC, Lee DK, et al. Large-fiber neuropathy in distal sensory neuropathy with normal routine nerve conduction. Neurology. 2001;56(11):1570-1572. doi:10.1212/wnl.56.11.1570.
- 4. Killian JM, Foreman PJ. Clinical utility of dorsal sural nerve conduction studies. Muscle Nerve. 2001;24(6):817-820. doi:10.1002/mus.1074.
- 5. Nodera H, Logigian EL, Herrmann DN. Class of nerve fiber involvement in sensory neuropathies: clinical characterization and utility of the plantar nerve action potential. Muscle Nerve. 2002;26(2):212-217. doi:10.1002/mus.10196.
- 6. Herrmann DN, Ferguson ML, Pannoni V, Barbano RL, Stanton M, Logigian EL. Plantar nerve AP and skin biopsy in sensory neuropathies with normal routine conduction studies. Neurology. 2004;63(5):879-885. doi:10.1212/01.wnl.0000137036.26601.84.
- 7. Meijer JWG, Bosma E, Lefrandt JD, et al. Clinical diagnosis of diabetic polyneuropathy with the diabetic neuropathy symptoms and diabetic neuropathy examination scores. Diabetes Care. 2003;26(3):697-701. doi:10.2337/diacare.26.3.697.
- 8. Oh SJ. Clinical Electromyography: Nerve Conduction Studies. 2nd ed. Baltimore: Williams & Wilkins; 1993.
- 9. Ricciardi D, Galiero R, Todisco V, et al. Neurophysiological assessment of peripheral neuropathy through whole plantar nerve conduction in type 2 diabetes mellitus and healthy control subjects. Metab Target Organ Damage. 2024;4(3):24. doi: 10.20517/mtod.2024.20.
- 10. An JY, Park MS, Kim JS, et al. Comparison of diabetic neuropathy symptom score and medial plantar sensory nerve conduction studies in diabetic patients showing normal routine nerve conduction studies. Intern Med. 2008;47(15):1395-1398. doi: 10.2169/internalmedicine.47.0901.
- 11. Altun Y, Demirkol A, Tumay Y, et al. The medial plantar and medial peroneal cutaneous nerve conduction studies for diabetic polyneuropathy. Neurol Sci. 2011;32(5):849-854. doi: 10.1007/s10072-011-0669-2.
- 12. Uluc K, Isak B, Borucu D, et al. Medial plantar and dorsal sural nerve conduction studies increase the sensitivity in the detection of neuropathy in diabetic patients. Clin Neurophysiol. 2008;119(4):880-885. doi: 10.1016/j.clinph.2008.01.001.
- 13. Mendell JR, Kissel JT, Cornblath DR. Editors. Diagnosis and Management of Peripheral Nerve Disorders. Oxford University Press: Oxford, 2001.
- 14. Lee KW, Oh SJ. Early appearance of aging phenomenon in the interdigital nerves of the foot. Muscle Nerve. 1994;17(1):58-63. doi:10.1002/mus.880170108.
- 15. Loseth S, Nebuchennykh M, Stalberg E, Mellgren SI. Medial plantar nerve conduction studies in healthy controls and diabetics. Clin Neurophysiol. 2007;118(5):1155-1161. doi: 10.1016/j.clinph.2007.01.008.
- 16. Keskin G, Kahraman Koytak P, Bastan B, Tanridag T, Us O, Uluc K. The reliability of medial and lateral plantar nerve recordings in healthy elderly individuals. Neurol Sci. 2015;36(6):883-888. doi: 10.1007/s10072-014-2056-2.
Toplam 16 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Periferik Sinir Sistemi |
| Bölüm | Original Article |
| Yazarlar | |
| Erken Görünüm Tarihi | 13 Haziran 2025 |
| Yayımlanma Tarihi | |
| Gönderilme Tarihi | 7 Mart 2025 |
| Kabul Tarihi | 5 Haziran 2025 |
| Yayımlandığı Sayı | Yıl 2025 EARLY ONLINE |
e-ISSN: 2149-3189
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2025