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Entrapment neuropathies

J M Murthy1, A K Meena

  • 1Department of Neurology, Nizam's Institute of Medical Sciences, Hyderabad.

The Journal of the Association of Physicians of India
|October 1, 1995
PubMed
Summary
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Entrapment neuropathies, including carpal tunnel syndrome, were evaluated in 650 patients. Carpal tunnel syndrome was the most frequent diagnosis, highlighting the importance of electrophysiological studies for accurate diagnosis.

Area of Science:

  • Neurology
  • Clinical Electrophysiology

Background:

  • Peripheral nerve disorders are common referrals to electrodiagnostic laboratories.
  • Accurate diagnosis of entrapment neuropathies is crucial for effective patient management.

Purpose of the Study:

  • To determine the relative frequency of various entrapment neuropathies among patients undergoing electrophysiological studies.
  • To assess the diagnostic accuracy of initial clinical referrals for specific entrapment neuropathies.

Main Methods:

  • Retrospective analysis of electrophysiological study data from 650 patients with peripheral nerve disorders.
  • Categorization of diagnoses based on electrophysiological findings.

Main Results:

  • Entrapment neuropathies accounted for 8.5% of all peripheral nerve disorders studied.

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  • Carpal tunnel syndrome was the most prevalent entrapment neuropathy, diagnosed in 83.6% of cases.
  • Electrophysiological studies revealed discrepancies between initial diagnoses and confirmed conditions, such as thoracic outlet syndrome and tarsal tunnel syndrome.

    • Conclusions:

    • Carpal tunnel syndrome is the most common entrapment neuropathy encountered in electrodiagnostic practice.
    • Electrophysiological studies are essential for confirming diagnoses and identifying misdiagnosed cases of entrapment neuropathies like thoracic outlet syndrome and tarsal tunnel syndrome.