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Antidromic sensory nerve conduction study of the digital branches of the medial plantar nerve: a novel method to detect early diabetic sensory axonal polyneuropathy.
Muscle Nerve. 2014 Aug; 50(2):193-9.MN

Abstract

INTRODUCTION

Distal sensory neuropathy is the most common form of diabetic neuropathy. We developed a novel antidromic technique for assessment of distal nerve function for early diagnosis of diabetic neuropathy.

METHODS

Diabetic and control groups underwent standard and more distal sensory nerve conduction studies (NCS); sensory nerve action potentials (SNAPs) of the proper digital branches of the medial plantar nerve were recorded with our method after stimulation at the sole and recording from digits I and II.

RESULTS

Comparison between controls and diabetics showed a statistically significant difference in mean SNAP amplitudes for all nerves tested. A higher percentage of abnormal SNAPs was obtained with our technique than with either conventional or more distal NCS in all patients.

CONCLUSIONS

As compared with clinical evaluation and other NCS, our antidromic stimulation was the most sensitive method to detect abnormal sensory nerve conduction in symptomatic and asymptomatic diabetic patients.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Squintani G
Neurology Unit, Neuroscience Department, Azienda Ospedaliera Universitaria Integrata, Piazzale Stefani 1, 37126, Verona, Italy.
Zoppini G
No affiliation info available
Donato F
No affiliation info available
Pineschi E
No affiliation info available
Donini D
No affiliation info available
Stoico V
No affiliation info available
Moretto G
No affiliation info available
Bonora E
No affiliation info available
Morini A
No affiliation info available

MeSH

Action PotentialsAdultAgedAnalysis of VarianceBiophysicsCase-Control StudiesDiabetic NeuropathiesDiagnostic Techniques, NeurologicalElectric StimulationFemaleHumansMaleMiddle AgedNeural ConductionPeripheral NervesSural NerveTibial Nerve

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24282067

Citation

Squintani, Giovanna, et al. "Antidromic Sensory Nerve Conduction Study of the Digital Branches of the Medial Plantar Nerve: a Novel Method to Detect Early Diabetic Sensory Axonal Polyneuropathy." Muscle & Nerve, vol. 50, no. 2, 2014, pp. 193-9.
Squintani G, Zoppini G, Donato F, et al. Antidromic sensory nerve conduction study of the digital branches of the medial plantar nerve: a novel method to detect early diabetic sensory axonal polyneuropathy. Muscle Nerve. 2014;50(2):193-9.
Squintani, G., Zoppini, G., Donato, F., Pineschi, E., Donini, D., Stoico, V., Moretto, G., Bonora, E., & Morini, A. (2014). Antidromic sensory nerve conduction study of the digital branches of the medial plantar nerve: a novel method to detect early diabetic sensory axonal polyneuropathy. Muscle & Nerve, 50(2), 193-9. https://doi.org/10.1002/mus.24135
Squintani G, et al. Antidromic Sensory Nerve Conduction Study of the Digital Branches of the Medial Plantar Nerve: a Novel Method to Detect Early Diabetic Sensory Axonal Polyneuropathy. Muscle Nerve. 2014;50(2):193-9. PubMed PMID: 24282067.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Antidromic sensory nerve conduction study of the digital branches of the medial plantar nerve: a novel method to detect early diabetic sensory axonal polyneuropathy. AU - Squintani,Giovanna, AU - Zoppini,Giacomo, AU - Donato,Francesco, AU - Pineschi,Elena, AU - Donini,Diana, AU - Stoico,Vincenzo, AU - Moretto,Giuseppe, AU - Bonora,Enzo, AU - Morini,Alberto, Y1 - 2014/05/14/ PY - 2013/05/27/received PY - 2013/11/03/revised PY - 2013/11/25/accepted PY - 2013/11/28/entrez PY - 2013/11/28/pubmed PY - 2014/9/10/medline KW - antidromic stimulation KW - diabetic axonal neuropathy KW - medial plantar nerve, near-nerve technique KW - proper digital branches SP - 193 EP - 9 JF - Muscle & nerve JO - Muscle Nerve VL - 50 IS - 2 N2 - INTRODUCTION: Distal sensory neuropathy is the most common form of diabetic neuropathy. We developed a novel antidromic technique for assessment of distal nerve function for early diagnosis of diabetic neuropathy. METHODS: Diabetic and control groups underwent standard and more distal sensory nerve conduction studies (NCS); sensory nerve action potentials (SNAPs) of the proper digital branches of the medial plantar nerve were recorded with our method after stimulation at the sole and recording from digits I and II. RESULTS: Comparison between controls and diabetics showed a statistically significant difference in mean SNAP amplitudes for all nerves tested. A higher percentage of abnormal SNAPs was obtained with our technique than with either conventional or more distal NCS in all patients. CONCLUSIONS: As compared with clinical evaluation and other NCS, our antidromic stimulation was the most sensitive method to detect abnormal sensory nerve conduction in symptomatic and asymptomatic diabetic patients. SN - 1097-4598 UR - https://www.unboundmedicine.com/medline/citation/24282067/Antidromic_sensory_nerve_conduction_study_of_the_digital_branches_of_the_medial_plantar_nerve:_a_novel_method_to_detect_early_diabetic_sensory_axonal_polyneuropathy_ DB - PRIME DP - Unbound Medicine ER -