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Medial dorsal superficial peroneal nerve studies in patients with polyneuropathy and normal sural responses.
Muscle Nerve. 2005 Mar; 31(3):386-9.MN

Abstract

We studied medial dorsal superficial peroneal (MDSP) nerves in 52 patients with clinical evidence of mild chronic sensorimotor polyneuropathy and normal sural nerve responses, in order to assess the diagnostic sensitivity and usefulness of MDSP nerve testing in electrodiagnostic practice. To determine the effect of age on MDSP nerve parameters, 98 normal subjects were also examined. Electrodiagnostic evaluation involved studies of motor nerve conduction in tibial, peroneal, and median nerves; sensory nerve conduction in sural, MDSP, median, and radial nerves; tibial and peroneal nerve F waves; H reflexes from the soleus muscles; and needle electromyography of gastrocnemius and abductor hallucis muscles. Among the patients, 49% had low-amplitude sensory responses in MDSP nerves and 57% had either slowing of sensory conduction velocity or no sensory responses on proximal stimulation. MDSP nerve amplitude, tibial nerve motor velocity, and H reflexes were the most sensitive for detection of mild chronic symmetrical axonal sensorimotor polyneuropathy. MDSP nerve testing should be included in the routine electrodiagnostic evaluation of patients with suspected polyneuropathy and normal sural nerve responses.

Authors+Show Affiliations

Kushnir M
Department of Neurology, Assaf Harofeh Medical Center, Zerifin 70300, Israel. mrabey@asaf.health.gov.il
Klein C
No affiliation info available
Kimiagar Y
No affiliation info available
Pollak L
No affiliation info available
Rabey JM
No affiliation info available

MeSH

Action PotentialsAdultAgedChronic DiseaseElectrodiagnosisElectromyographyFemaleH-ReflexHumansMaleMiddle AgedMotor NeuronsNeural ConductionPeroneal NervePolyneuropathiesReaction TimeSensationSensitivity and SpecificitySeverity of Illness IndexSural NerveTibial Nerve

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

15508123

Citation

Kushnir, Mark, et al. "Medial Dorsal Superficial Peroneal Nerve Studies in Patients With Polyneuropathy and Normal Sural Responses." Muscle & Nerve, vol. 31, no. 3, 2005, pp. 386-9.
Kushnir M, Klein C, Kimiagar Y, et al. Medial dorsal superficial peroneal nerve studies in patients with polyneuropathy and normal sural responses. Muscle Nerve. 2005;31(3):386-9.
Kushnir, M., Klein, C., Kimiagar, Y., Pollak, L., & Rabey, J. M. (2005). Medial dorsal superficial peroneal nerve studies in patients with polyneuropathy and normal sural responses. Muscle & Nerve, 31(3), 386-9.
Kushnir M, et al. Medial Dorsal Superficial Peroneal Nerve Studies in Patients With Polyneuropathy and Normal Sural Responses. Muscle Nerve. 2005;31(3):386-9. PubMed PMID: 15508123.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Medial dorsal superficial peroneal nerve studies in patients with polyneuropathy and normal sural responses. AU - Kushnir,Mark, AU - Klein,Colin, AU - Kimiagar,Yitzhak, AU - Pollak,Lea, AU - Rabey,Jose M, PY - 2004/10/28/pubmed PY - 2005/3/18/medline PY - 2004/10/28/entrez SP - 386 EP - 9 JF - Muscle & nerve JO - Muscle Nerve VL - 31 IS - 3 N2 - We studied medial dorsal superficial peroneal (MDSP) nerves in 52 patients with clinical evidence of mild chronic sensorimotor polyneuropathy and normal sural nerve responses, in order to assess the diagnostic sensitivity and usefulness of MDSP nerve testing in electrodiagnostic practice. To determine the effect of age on MDSP nerve parameters, 98 normal subjects were also examined. Electrodiagnostic evaluation involved studies of motor nerve conduction in tibial, peroneal, and median nerves; sensory nerve conduction in sural, MDSP, median, and radial nerves; tibial and peroneal nerve F waves; H reflexes from the soleus muscles; and needle electromyography of gastrocnemius and abductor hallucis muscles. Among the patients, 49% had low-amplitude sensory responses in MDSP nerves and 57% had either slowing of sensory conduction velocity or no sensory responses on proximal stimulation. MDSP nerve amplitude, tibial nerve motor velocity, and H reflexes were the most sensitive for detection of mild chronic symmetrical axonal sensorimotor polyneuropathy. MDSP nerve testing should be included in the routine electrodiagnostic evaluation of patients with suspected polyneuropathy and normal sural nerve responses. SN - 0148-639X UR - https://www.unboundmedicine.com/medline/citation/15508123/Medial_dorsal_superficial_peroneal_nerve_studies_in_patients_with_polyneuropathy_and_normal_sural_responses_ DB - PRIME DP - Unbound Medicine ER -