Ultrasonogrpahic examination of peripheral nerves in diabetic peripheral neuropathy
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 12
Abstract
Aim: Ultrasonographic examination of peripheral nerves in diabetic peripheral neuropathy patients (DPN) and comparison of findings with healthy controls. Methods: 50 patients clinically diagnosed with diabetic peripheral neuropathy and 50 healthy non-diabetic subjects taken as controls were analysed. The cross sectional area (CSA)of the median nerve, ulnar nerve, common peroneal nerve and posterior tibial nerve was measured at predetermined sites. The mean CSA was calculated and compared among both groups. Results: There was a significant increase in CSA of median nerve (11.00±1.64 mm2, 10.26±1.67 mm2 and 9.98±1.67 mm2 at 5 cms proximal to wrist crease, at mid forearm and at elbow joint respectively vs 7.34±1.23 mm2, 6.80±0.80 mm2 and 11.00±1.64 mm2), ulnar nerve (8.30±1.34 mm2 and 9.20±1.17 mm2 at wrist joint and behind medial epicondyle respectively vs 6.90±0.86 mm2and 7.38±0.96 mm2), common peroneal nerve (9.16±1.76 mm2 vs 7.02±1.18 mm2at neck of fibula) and posterior tibial nerve (9.08±1.71 mm2 vs 6.86±0.99 mm2 at 3cms proximal to medial malleolus) in DPN patients as compared with healthy controls. The difference was statistically significant at p value of 0.001. Conclusion: This study of confirms that the CSA of the peripheral nerves is larger in patients with DPN compared with healthy controls and that ultrasonography is a promising point-of-care screening tool for DPN.
Authors and Affiliations
Ramesh Chander, Navtej Singh VK Rampal, N. S. Neki
Keywords
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- EP ID EP548962
- DOI 10.22192/ijcrms.2018.04.12.008
- Views 219
- Downloads 0
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