Function of thick and thin nerve fibers in carpal tunnel syndrome before and after surgical treatment.

Abstract:

:Present studies evaluated the functions of thick and thin nerve fibers in carpal tunnel syndrome (CTS) to determine whether data of thin nerve fibers can add further information to the diagnosis of CTS. Measurements were performed in 22 patients and 16 age-matched control subjects. Motor and sensory nerve conduction, vibratory testing, thresholds of warmth and cold sensations, suprathreshold magnitude of pain and flare response, as well as sympathetic reflexes induced by noxious mechanostimulation were examined before and 1, 3, 6, 12, and 18 months after decompression of the median nerve. Nerve dysfunction in CTS was mainly indicated by the electrophysiological parameters of thick myelinated nerve fibers. Impairment of thin nerve functions in CTS and postoperative recovery was demonstrated by quantitative somatosensory thermotesting. In contrast, assessment of flare response and sympathetic reflexes using infrared thermography and photoplethysmography did not add further information for the diagnosis of CTS.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Lang E,Spitzer A,Pfannmüller D,Claus D,Handwerker HO,Neundörfer B

doi

10.1002/mus.880180210

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

207-15

issue

2

eissn

0148-639X

issn

1097-4598

journal_volume

18

pub_type

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