By Giuliano Gentili, Mario Di Napoli
This atlas systematically studies sensory conduction reviews of the median nerve, from pilot human experiences in peripheral nerve conduction in the course of the Fifties via to the newest medical facts. Descriptions are supplied of a wealth of sensory nerve conduction thoughts that have been reproduced within the laboratory, together with either the initially proposed tools and versions. The equipment are equipped in response to functional standards for ease of reference. consciousness is concentrated in particular on these suggestions that have proven larger sensitivity and specificity within the prognosis of compressive mononeuropathies like carpal tunnel syndrome (CTS), and at the most generally authorised instructions, strategies, caliber measures, and electrodiagnostic classifications. a close, well-illustrated word list explains the typically used phrases in electrodiagnostic drugs (EDX). The booklet is essentially meant for citizens and pros in Neurology, in addition to rehabilitation physicians and medical neurophysiologists. The exact descriptions of options and their sensible use also will make the ebook a useful instrument for newbies and medical neurophysiology technicians.novices and scientific neurophysiology technicians.
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Extra resources for The Median Nerve: Sensory Conduction Studies
Sample text
3 m/s). 8 m/s, respectively), and patients of these groups showed significantly slowed mixed median nerve conduction velocity. Although the mean mixed median study values were essentially the same for groups 2 and 3 and for groups 4 and 5, the results of the studies were significantly different, which suggested the concept of using this method to differentiate forearm nerve conduction slowing from retrograde deterioration of nerve conduction secondary to nerve compression at the carpal tunnel versus changes caused by another peripheral nerve pathologic process.
Gentili, M. 4 41 42 S7 Digit II, V – Wrist Upper trunk C6 C7 C8 Lateral cord T1 Middle trunk Median nerve S1 (digit II) Lower trunk Medial cord Ulnar nerve R1 (wrist) + Digit II – A R Median nerve A R Ulnar nerve G Digit V + – R2 (wrist) S2 (digit V) Typical waveform (digit II, V – wrist): Median - dig II - V ortho Median - dig II - V ortho 2 2 1 3 2 1 4 3 4 1 Median (digit II) 1 10 ms 10 µV 35 mA 17 Ulnar (digit V) 2 10 ms 10 µV 25 mA 14 Sensitivity 10 µV/div, sweep speed 1 ms/div 1 2 4 3 3 4 Median (digit II) 1 10 ms 20 µV 35 mA 17 Ulnar (digit V) 2 10 ms 20 µV 25 mA 14 Sensitivity 20 µV/div, sweep speed 1 ms/div Fig.
5 ms/div 1 3 Elbow 2 4 20 ms 10 µV 53 mA 16 Sensitivity 10 µV/div, sweep speed 2 ms/div Fig. 2 Antidromic sensory nerve action potentials (SNAPs) recorded to digit III, stimulation of the wrist (upper trace) and of the elbow (lower trace) 30 S5 Wrist, Elbow – Digit II, III; Wrist – Digit II, III Upper trunk C6 C7 Lateral cord R (digit II) Middle trunk Median nerve R Digit II 4 cm A 14 cm – + G Digit V S (wrist) Typical waveform (wrist – digit II): Median - dig II Median - dig II 2 2 Wrist 1 4 1 3 3 10 ms 10 µV 24 mA 14 Sensitivity 10 µV/div, sweep speed 1 ms/div 4 1 Wrist 1 10 ms 20 µV 24 mA 14 Sensitivity 20 µV/div, sweep speed 1 ms/div Fig.