Facing the diagnostic challenge: Nerve ultrasound in diabetic patients with neuropathic symptoms.

Abstract:

INTRODUCTION:We describe the nerve ultrasound findings in patients with type II diabetes mellitus who have neuropathic symptoms and signs. METHODS:Fifty-five healthy controls and 44 diabetic patients underwent clinical, sonographic, and electrophysiological evaluation. Patients were studied at a mean of 14.3 years after disease onset. RESULTS:Nerve ultrasound revealed increased cross-sectional area (CSA) in peripheral nerves at compression sites (although no clinical symptoms were present) and noncompression sites. No correlation was detected between sonographic and electrophysiological findings. A CSA increase of the tibial nerve in the popliteal fossa was detected in 5 patients with neuropathic symptoms, although electrophysiology was normal. CONCLUSIONS:Nerve ultrasound revealed crucial morphological alterations in diabetic patients. CSA enlargement at compression sites indicates subclinical nerve affection and may indicate susceptibility to entrapment syndromes. CSA increase at noncompression sites despite normal electrophysiology suggests early morphological abnormalities. Further longitudinal studies are required to confirm our results. Muscle Nerve, 2015 Muscle Nerve 54: 18-24, 2016 Muscle Nerve 54: 18-24, 2016.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Pitarokoili K,Kerasnoudis A,Behrendt V,Labedi A,Ayzenberg I,Gold R,Yoon MS

doi

10.1002/mus.24981

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

18-24

issue

1

eissn

0148-639X

issn

1097-4598

journal_volume

54

pub_type

杂志文章
  • Health services received by individuals with duchenne/becker muscular dystrophy.

    abstract:INTRODUCTION:Anecdotal reports from families and care providers suggest a wide variation in services received by individuals with Duchenne/Becker muscular dystrophy (DBMD). METHODS:We documented the type and frequency of health services received by individuals with DBMD using the Muscular Dystrophy Surveillance Tracki...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24727

    authors: Pandya SK,Campbell KA,Andrews JG,Meaney FJ,Ciafaloni E

    更新日期:2016-02-01 00:00:00

  • Monofocal motor neuropathy: Improvement with intravenous immunoglobulin.

    abstract::Multifocal motor neuropathy (MMN) is a chronic, immune-mediate, peripheral myelinopathy. Inherent in its name, MMN implies involvement of two or more motor nerves. We report three patients with weakness and partial motor conduction block restricted to a single nerve and localized to sites that are not at risk for entr...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.10088

    authors: Felice KJ,Goldstein JM

    更新日期:2002-05-01 00:00:00

  • Clinical-pathologic correlations in voltage-gated Kv1 potassium channel complex-subtyped autoimmune painful polyneuropathy.

    abstract:INTRODUCTION:Voltage-gated Kv1 potassium channel complex (VGKC) autoantibodies subtyped for leucine-rich glioma-inactivated 1 (LGI1), contactin-associated-proteinlike 2 (CASPR2), and Kv IgGs have a spectrum of neurological presentations. Painful polyneuropathy is seen in some patients, but nerve pathology descriptions ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25371

    authors: Lahoria R,Pittock SJ,Gadoth A,Engelstad JK,Lennon VA,Klein CJ

    更新日期:2017-04-01 00:00:00

  • Neurofibromatous neuropathy.

    abstract::Three cases of chronic distal sensorimotor neuropathy are described in patients with neurofibromatosis. One had type 2 or central neurofibromatosis with a chromosome 22 deletion; the precise form of the disease was not established in the other two. A striking clinical feature was a diffuse nodular enlargement of the p...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880130202

    authors: Thomas PK,King RH,Chiang TR,Scaravilli F,Sharma AK,Downie AW

    更新日期:1990-02-01 00:00:00

  • Pain and soreness associated with a percutaneous electrical stimulation muscle cramping protocol.

    abstract::Muscle cramps are difficult to study scientifically because of their spontaneity and unpredictability. Various laboratory techniques to induce muscle cramps have been explored but the best technique for inducing cramps is unclear. Electrical stimulation appears to be the most reliable, but there is a perception that i...

    journal_title:Muscle & nerve

    pub_type: 临床试验,杂志文章

    doi:10.1002/mus.20857

    authors: Miller KC,Knight KL

    更新日期:2007-11-01 00:00:00

  • Transgenic overexpression of laminin alpha1 chain in laminin alpha2 chain-deficient mice rescues the disease throughout the lifespan.

    abstract::Several approaches to treat laminin alpha2 chain-deficient congenital muscular dystrophy (MDC1A) in mouse models have been undertaken. Most have shown promising results in young animals. However, older animals have only been characterized to some extent. Herein we analyze the lifespan of laminin alpha2 chain-deficient...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.21616

    authors: Gawlik KI,Durbeej M

    更新日期:2010-07-01 00:00:00

  • Emetine myopathy: two case reports with pathobiochemical analysis.

    abstract::We report two female patients with a history of alcohol abuse presenting with proximal painful muscle weakness following aversion therapy with emetine hydrochloride. Muscle biopsy of Case 1 showed a reversible floccular-shaped loss of myosin ATPase and dehydrogenase, an accumulation of PAS positive material, and a nor...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880070109

    authors: Sugie H,Russin R,Verity MA

    更新日期:1984-01-01 00:00:00

  • Passive trunk loading influences muscle activation during dynamic activity.

    abstract:INTRODUCTION:Repetitive loading of the low back tissues induces tension relaxation with a corresponding variation in the myoelectric response of the neuromuscular system, which may influence low back health. The purpose of this study was to observe trunk muscle activities before and after a passive cyclic trunk flexion...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.22154

    authors: Olson MW

    更新日期:2011-11-01 00:00:00

  • Pediatric laminopathies: Whole-body magnetic resonance imaging fingerprint and comparison with Sepn1 myopathy.

    abstract:INTRODUCTION:We sought to define the whole-body MRI (WB-MRI) fingerprint of muscle involvement in pediatric LMNA-related dystrophy (LMNA-RD) and to compare it with SEPN1-related myopathy (SEPN1-RM). METHODS:Signal abnormality and atrophy in 109 muscles were scored by semiquantitative scales in 8 children with LMNA-RD ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25018

    authors: Gómez-Andrés D,Dabaj I,Mompoint D,Hankiewicz K,Azzi V,Ioos C,Romero NB,Ben Yaou R,Bergounioux J,Bonne G,Richard P,Estournet B,Yves-Carlier R,Quijano-Roy S

    更新日期:2016-08-01 00:00:00

  • Satisfaction with ankle foot orthoses in individuals with Charcot-Marie-Tooth disease.

    abstract:BACKGROUND:Ankle foot orthoses (AFOs) are commonly prescribed to individuals with Charcot-Marie-Tooth disease (CMT). The aim of this study was to evaluate patient reported satisfaction with orthotic devices and services in individuals with CMT to provide preliminary data for advancing AFO development and improving clin...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.27027

    authors: Zuccarino R,Anderson KM,Shy ME,Wilken JM

    更新日期:2021-01-01 00:00:00

  • The influence of changes in the intensity of magnetic stimulation on coil output.

    abstract::We measured the peak voltage induced in a sensing loop by a Magstim 200 magnetic stimulator. Coil output varied little for repeated stimulation at the same intensity over a wide range of coil output. In contrast, the first stimulus immediately after a change in intensity was of larger amplitude and showed greater vari...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880161211

    authors: Reutens DC,MacDonell RA,Berkovic SF

    更新日期:1993-12-01 00:00:00

  • Prognostic factors in carpal tunnel syndrome treated with a corticosteroid injection.

    abstract:INTRODUCTION:Symptoms often return in patients with carpal tunnel syndrome (CTS) who are treated with a local corticosteroid injection. We aimed to determine prognostic factors for a successful long-term outcome. METHODS:We prospectively followed 113 patients who received an injection for CTS. Clinical, electrophysiol...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.22183

    authors: Meys V,Thissen S,Rozeman S,Beekman R

    更新日期:2011-11-01 00:00:00

  • Mechanically evoked sensory and motor responses to dynamic compression of the ulnar nerve.

    abstract::Mechanical deformation of a peripheral nerve can evoke action potentials in sensory and motor axons. The generation of these impulses with brief stimuli (<0.5 s) and their relationship to the deformation conditions have not been systematically studied in human subjects. Controlled compression stimuli over a range of a...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20701

    authors: Clarke EC,McNulty PA,Macefield VG,Bilston LE

    更新日期:2007-03-01 00:00:00

  • Muscle changes in patients with diabetes and chronic exertional compartment syndrome before and after treatment with fasciotomy.

    abstract:INTRODUCTION:Muscle changes in patients with diabetes and lower leg pain due to chronic exertional compartment syndrome (CECS) were investigated before and after fasciotomy. METHODS:The tibialis anterior muscle was analyzed with histochemical and morphological techniques in 7 patients with diabetes and CECS before fas...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25715

    authors: Edmundsson DS,Toolanen GL,Stål PS

    更新日期:2018-02-01 00:00:00

  • Involvement of peripheral sensory fibers in amyotrophic lateral sclerosis: electrophysiological study of 64 cases.

    abstract::We report electrophysiological findings of conduction along peripheral sensory fibers in 64 patients with amyotrophic lateral sclerosis. Distribution of the values of action potential amplitudes and conduction velocities of peripheral afferent fibers were significantly lower than in normal age-matched controls. Sensor...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880160208

    authors: Mondelli M,Rossi A,Passero S,Guazzi GC

    更新日期:1993-02-01 00:00:00

  • Do acetylcholine receptor and striated muscle antibodies predict the presence of thymoma in patients with myasthenia gravis?

    abstract:INTRODUCTION:Acetylcholine receptor (AChR) and striated muscle antibodies (StrAbs) are found frequently in myasthenia gravis (MG) patients with thymoma. In this study we aimed to determine the positive predictive value (PPV) and negative predictive value (NPV) of these antibodies for thymoma in patients with MG. METHO...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.23882

    authors: Choi Decroos E,Hobson-Webb LD,Juel VC,Massey JM,Sanders DB

    更新日期:2014-01-01 00:00:00

  • Positive sharp wave origin: evidence supporting the electrode initiation hypothesis.

    abstract::This investigation analyzes the temporal characteristics of maximal depolarization times for three waveforms: end-plate spikes, fibrillation potentials, and positive sharp waves (PSWs) to provide support for the electrode initiation hypothesis of PSW induction. The maximal depolarization times for PSWs are documented ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20819

    authors: Dumitru D,Santa Maria DL

    更新日期:2007-09-01 00:00:00

  • A standardized clinical evaluation of patients affected by facioscapulohumeral muscular dystrophy: The FSHD clinical score.

    abstract::To define numerically the clinical severity of facioscapulohumeral muscular dystrophy (FSHD), we developed a protocol that quantifies muscle weakness by combining the functional evaluation of six muscle groups affected in this disease. To validate reproducibility of the protocol, 69 patients were recruited. Each patie...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.21671

    authors: Lamperti C,Fabbri G,Vercelli L,D'Amico R,Frusciante R,Bonifazi E,Fiorillo C,Borsato C,Cao M,Servida M,Greco F,Di Leo R,Volpi L,Manzoli C,Cudia P,Pastorello E,Ricciardi L,Siciliano G,Galluzzi G,Rodolico C,Santoro L

    更新日期:2010-08-01 00:00:00

  • Autophagy markers LC3 and p62 accumulate in immune-mediated necrotizing myopathy.

    abstract:INTRODUCTION:The molecular mechanism of immune-mediated necrotizing myopathy (IMNM) remains unknown. Autophagy impairment, described in autoimmune diseases, is a key process in myofiber protein degradation flux and muscle integrity and has not been studied in IMNM. METHODS:Muscle biopsies from patients with IMNM (n = ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.26608

    authors: Girolamo F,Lia A,Annese T,Giannini M,Amati A,D'Abbicco D,Tampoia M,Virgintino D,Ribatti D,Serlenga L,Iannone F,Trojano M

    更新日期:2019-09-01 00:00:00

  • Clinical and genetic description of a family with Charcot-Marie-Tooth disease type 1B from a transmembrane MPZ mutation.

    abstract::Mutations in the myelin protein zero gene (MPZ) are associated with certain demyelinating neuropathies, and in particular with Charcot-Marie-Tooth disease type 1B (CMT1B), Dejerine-Sottas syndrome, and congenital hypomyelination. MPZ mutations affecting the protein's transmembrane domain are generally associated with ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20034

    authors: Eggers SD,Keswani SC,Melli G,Cornblath DR

    更新日期:2004-06-01 00:00:00

  • Heterogeneity of muscle sizes in the lower limbs of children with cerebral palsy.

    abstract:INTRODUCTION:Cerebral palsy (CP) is associated with reduced muscle volumes, but previous studies have reported deficits in only a small number of muscles. The extent of volume deficits across lower limb muscles is not known. This study presents an imaging-based assessment of muscle volume and length deficits in 35 lowe...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24972

    authors: Handsfield GG,Meyer CH,Abel MF,Blemker SS

    更新日期:2016-06-01 00:00:00

  • Myasthenia gravis and premature ovarian failure.

    abstract::We describe a patient who developed seropositive myasthenia gravis 16 years after she was diagnosed with autoimmune premature ovarian failure with antibodies to the receptor for follicle-stimulating hormone (FSH). Although thymectomy led to improvement of her myasthenic symptoms, menses did not resume. Such combined s...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20067

    authors: Ryan MM,Jones HR Jr

    更新日期:2004-08-01 00:00:00

  • Multi-motor unit action potential analysis (MMA)

    abstract::We have developed an algorithm, called multi-motor unit action potential analysis (MMA), to aid quantification in routine needle EMG examination. In only 5-8 min, it was possible to extract, analyze, and validate 20 motor unit action potentials (MUAPs). In the biceps muscle of normal subjects, the MUAP measurements ar...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880181012

    authors: Nandedkar SD,Barkhaus PE,Charles A

    更新日期:1995-10-01 00:00:00

  • The risk of iatrogenic pneumothorax after electromyography.

    abstract:INTRODUCTION:Pneumothorax is a potentially serious complication of electromyography (EMG). Data on the frequency of pneumothorax after EMG are lacking. The purpose of this study was to determine the frequency, timing, and risk factors for iatrogenic pneumothorax after EMG. METHODS:Cases of pneumothorax after EMG were ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24883

    authors: Kassardjian CD,O'gorman CM,Sorenson EJ

    更新日期:2016-04-01 00:00:00

  • Peripheral nerve ultrasound in cerebellar ataxia neuropathy vestibular areflexia syndrome (CANVAS).

    abstract:INTRODUCTION:We report preliminary findings of nerve ultrasound in patients with cerebellar ataxia neuropathy vestibular areflexia syndrome (CANVAS) who have sensory impairment due to dorsal root ganglionopathy. METHODS:The ultrasound cross-sectional area (CSA) of median and ulnar nerves of 7 CANVAS patients was compa...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25476

    authors: Pelosi L,Leadbetter R,Mulroy E,Chancellor AM,Mossman S,Roxburgh R

    更新日期:2017-07-01 00:00:00

  • Cardiac repolarization abnormalities in multiple sclerosis: spinal cord MRI correlates.

    abstract::Ventricular repolarization dysfunction has recently been reported in multiple sclerosis (MS). We evaluated ventricular repolarization dysfunction in 52 MS patients and looked for a relationship between corrected QT (QTc) abnormalities (i.e., abnormalities of QT intervals corrected for rate) and spinal cord magnetic re...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/1097-4598(200008)23:8<1284::aid-mus21>3.0.

    authors: de Seze J,Stojkovic T,Gauvrit JY,Saint Michel T,Ayachi M,Pruvo JP,Vermersch P

    更新日期:2000-08-01 00:00:00

  • Quantitative measurement of muscle fiber composition in a normal population.

    abstract::To obtain normative muscle morphology data on a healthy population recruited from a population survey, we examined vastus lateralis biopsies from 58 men and 33 women, aged 26-67 years. Biopsies were measured with automated, computer-aided techniques. Data were analyzed according to gender and age, and the influence of...

    journal_title:Muscle & nerve

    pub_type: 临床试验,杂志文章

    doi:10.1002/mus.10373

    authors: Toft I,Lindal S,Bønaa KH,Jenssen T

    更新日期:2003-07-01 00:00:00

  • Obturator neuropathy: causes and outcome.

    abstract::To study causes of obturator neuropathy and to correlate them with outcome, we retrospectively studied patients seen at the Mayo Clinic electromyography (EMG) laboratory from 1975 through 1999 with a diagnosis of obturator neuropathy. Twenty-two patients with obturator neuropathy were identified. The clinical outcome ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.10065

    authors: Sorenson EJ,Chen JJ,Daube JR

    更新日期:2002-04-01 00:00:00

  • Dystrophin gene transcripts skipping the mdx mutation.

    abstract::The mdx mouse, an animal model used to study Duchenne muscular dystrophy, has a nonsense mutation in exon 23 of the dystrophin gene which should result in a truncated protein that cannot be correctly localized at the sarcolemma of the muscle fibers. Immunohistochemical staining with antidystrophin antibodies has shown...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199706)20:6<728::aid-mus10

    authors: Wilton SD,Dye DE,Laing NG

    更新日期:1997-06-01 00:00:00

  • Magnetic resonance imaging signal hyperintensity of neural tissues in diffuse chronic pain syndromes: a pilot study.

    abstract::In this pilot study we use T2-weighted magnetic resonance imaging (MRI) to identify possible peripheral nerve inflammation in 4 patients with diffuse chronic pain. In all 4 patients, there was an increase in median and ulnar nerve T2 signal intensity at the wrist (P < 0.05 vs. controls). Positive clinical signs of per...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.22221

    authors: Dilley A,Greening J,Walker-Bone K,Good C

    更新日期:2011-12-01 00:00:00