Carpel Tunnel Maximally Presents to Neurophysiology Diagnosis at Moderate Severity
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 6
Abstract
Abstract: Carpel Tunnel Syndrome (CTS) occurring due to median nerve entrapment at wrist can be neurophysiologically graded in to severity scales. Severity Grading scales for CTS are designed on nerve conduction study (NCS) parameters. Our aim was to analyze retrospectively last 4 yr CTS patients reported at Gajara Raja Medical College, Gwalior (M.P.). 52 neurophysiologically diagnosed CTS patients, aged 30 - 82 years, reported between Jan 2014 and March 2018 were analyzed. NCS parameters of total 104 hands were included in the analysis. Subjects were analyzed according to Jeremy D Bland CTS severity grading scale. Subjects were grouped in to <30 yr, 30-50 yr, 50-70 yr and >70 yr age groups. CTS was higher in females where 41 (78.85%) were females while 11 (21.15%) were males, with male: female ratio of 1:3.7. Maximum patients were in the age group of 30-50 years (37; 71.15%). Of the Total CTS patients 35 (67.31%) were bilateral. Maximum numbers of patients were of moderate severity (28; 53.85%). Out of total evaluated 104 hands severity grade, maximum number of 41 (39.42%) hands showed moderate grade of severity. CTS occurrence was more common in females and most common age group was 30-50 Yr. More CTS cases were diagnosed bilaterally than unilaterally. The maximum cases come to neurophysiology diagnosis at the stage of moderate severity.
Authors and Affiliations
Dr. Virendra Verma, Dr. Gaurav Associate Professor, G. R. Medical College, Gwalior, MP, India
Keywords
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