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J Korean Neurol Assoc. 2009;27(4):332-336.
- 수근관증후군 환자에서 감각역치검사의 진단적 유용성
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Hyo Min Lee
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Department of Neurology, School of Medicine, Catholic University of Daegu, Daegu, Korea
- Diagnostic Usefullness of Current Perception Threshold Test in
Carpal Tunnel Syndrome
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이효민, 윤창효 석정임 이동국
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대구가톨릭의대 신경과
- Abstract
- Background
Carpal tunnel syndrome (CTS) is the most commonly reported nerve entrapment syndrome. When
performing routine nerve conduction studies (NCS) in clinically diagnosed CTS, we sometimes confronted with
patients who have no definite electrophysiological evidence of CTS. Current perception threshold (CPT) test can evaluate
the functioning of all major subpopulations of sensory nerve. The purpose of this study is to determine clinically
usefulness of the CPT test in idiopathic CTS.
Methods
We prospectively studied 60 patients (90 hands) who were clinically diagnosed as CTS. Involved hands
were grouped into three clinical grades (mild, moderate and severe). NCS was done using a standard technique
and equipment. CPT test was measured at the distal interphalangeal joint of second, third and fifth fingers with
electrical current of 5 Hz, 250 Hz and 2,000 Hz in frequency.
Results
Of 60 patients (90 hands), 8 (13.1%) were men and 52 (86.9%) were women. Mean age at evaluation was
56.00±8.94 years old. Positive rate of NCS and CPT was 0.80 (0.72, 0.88) and 0.61 (0.51, 0.71), respectively. Sensitive
and specificity of CPT test was 0.49 and 0.57. As the clinical severity of CTS deteriorate, CPT test showed abnormality
in low frequency stimulation.
Conclusions
CPT test is an effective and relatively simple procedure for measuring perception in CTS. But CTS
test is difficulty and subjectively at interpretation. We suggested that the usefullness of CPT test is lower than NCS
in diagnosis of CTS. Key Words: Current perception threshold, Carpal tunnel syndrome
Keywords :
- 초록
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