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Updated: Feb 8, 2026

Nerve Ultrasound Protocol to Detect Dysimmune Neuropathies
Published on: October 7, 2021
Prognostic value of nerve ultrasound and electrophysiological findings in traumatic sural neuropathy
A Kerasnoudis1, P Ntasiou2, G Barmpalios3
1Dept. of Neurology, St. Luke's Hospital, Thessaloniki, Greece; Dept. of Neurology, St. Josef Hospital, Bochum, Germany.
Introduction:
We report on the prognostic role of cross sectional area (CSA) enlargement and axonal damage in traumatic sural neuropathy (TSN).
Methods:
Reference values were defined in 23 healthy subjects. 13patients with TSN underwent evaluation (Thessaloniki Hypesthesia Score (THS), ultrasound, electrophysiology). All patients were followed up with THS 6 months after initial evaluation.
Results:
During initial evaluation, the 13 patients showed a mean THS of 2.6 (SD ± 0.9). 7 patients showed pathological (pUS) and 6 normal CSA (nUS). 8 patients showed axonal affection (pCS) and 5 no axonal affection (nCS). During follow up, mean THS was 3.1 (SD ± 0.9) in pUS, and 1.8 (SD ± 0.7) in the nUS group (p < 0.001). Mean THS was 2.8 (SD ± 0.7) in pCS, and 2.1 (SD ± 0.9) in nCS group (p = 0.035).
Discussion:
CSA enlargement, but not axonal loss, seems to have a negative prognostic role in patients with TSN.
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