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The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 1/2021

Open Access 01-12-2021 | Carpal Tunnel Syndrome | Research

High-resolution neuromuscular ultrasound-based diagnosis of carpal tunnel syndrome in a sample of Egyptian population

Authors: Ahmed ElSadek, Mai Fathy, Amr AbdElMoneim

Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery | Issue 1/2021

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Abstract

Background

Carpal tunnel syndrome is the commonest entrapment neuropathy. The cut-off point of cross-sectional area to diagnose carpal tunnel syndrome may vary among populations. The objective of this study was to determine the best cut-off point of median nerve cross-sectional area to diagnose carpal tunnel syndrome among Egyptian population and to compare the difference of median nerve cross-sectional area in diabetic patients versus healthy individuals.

Results

Mean cross-sectional area was 7.78 ± 1.260 mm2 among healthy individuals and 8 ± 1.018 mm2 among diabetics. Cut-off cross-sectional area of median nerve above which compression is anticipated is 9.5 mm2.

Conclusion

Ultrasound can be used to diagnose carpal tunnel syndrome by measuring the median nerve cross-sectional area.
Literature
1.
Yunoki M, Kanda T, Suzuki K, Uneda A, Hirashita K, Yoshino K. Importance of recognizing carpal tunnel syndrome for neurosurgeons: a review. Neurol Med Chir (Tokyo). 2017;57(4):172–83.CrossRef
2.
El-Bahnasawy AS, Senna MK, Okasha A, Ghariba O. Diagnostic utility of median nerve CSA to ulnar nerve CSA ratio in the diagnosis of mild idiopathic carpal tunnel syndrome. Egypt Rheumatol Rehabil. 2020;47:34.CrossRef
3.
El Badry A, El Sherif M, Yoshimine T. Can sonography replace electromyography and nerve conduction velocity in carpal tunnel syndrome? INDJ. 2016;6:1–10.CrossRef
4.
Yoshii Y, Zhao C, Amadio PC. Recent advances in ultrasound diagnosis of carpal tunnel syndrome. Diagnostics (Basel). 2020;10(8):596.CrossRef
5.
El-Habashy HR, El-Hadidy RA, Ahmed SM, El Sayed BB, Ahmed AS. Correlation between median nerve conduction studies and ultrasonography in cases of carpal tunnel syndrome. Egypt J Neurol Psychiatry Neurosurg. 2016;53:206–10.CrossRef
6.
Kang S, Kwon HK, Kim KH, Yun HS. Ultrasonography of median nerve and electrophysiologic severity in carpal tunnel syndrome. Ann Rehabil Med. 2012;36(1):72–9.CrossRef
7.
Sonbol M, Ibrahim W, Ghunaimi M. Role of ultrasonography in the diagnosis of carpal tunnel syndrome. Al-Azhar Med J. 2017;46(4):765–79.CrossRef
8.
Sarraf P, Malek M, Ghajarzadeh M, Miri S, Parhizgar E, Emami-Razavi SZ. The best cutoff point for median nerve cross sectional area at the level of carpal tunnel inlet. Acta Med Iran. 2014;52(8):613–8.PubMed
9.
Ziswiler HR, Reichenbach S, Vogelin E, Bachmann LM, Villiger PM, Juni P. Diagnostic value of sonography in patients with suspected carpal tunnel syndrome: a prospective study. Arthritis Rheum. 2005;52(1):304–11.CrossRef
10.
Nakamichi K, Tachibana S. Ultrasonographic measurement of median nerve cross-sectional area in idiopathic carpal tunnel syndrome: diagnostic accuracy. Muscle Nerve. 2002;26(6):798–803.CrossRef
11.
Ghasemi M, Masoumi S, Ansari B, Fereidan-Esfahani M, Mousavi SM. Determination of cut-off point of cross-sectional area of median nerve at the wrist for diagnosing carpal tunnel syndrome. Iran J Neurol. 2017;16(4):164–7.PubMedPubMedCentral
12.
Mohammadi A, Afshar A, Etemadi A, Masoudi S, Baghizadeh A. Diagnostic value of cross-sectional area of median nerve in grading severity of carpal tunnel syndrome. Arch Iran Med. 2010;13(6):516–21.PubMed
13.
Bril V, Perkins B. Carpal tunnel syndrome in patients with diabetic polyneuropathy. J Peripher Nerv Syst. 2001;5(3):180–180.
14.
Kotb MA, Bedewi MA, Aldossary NM, Mahmoud G, Naguib MF. Sonographic assessment of carpal tunnel syndrome in diabetic patients with and without polyneuropathy. Medicine (Baltimore). 2018;97(24):e11104.CrossRef
15.
Demino C, Fowler J. Diagnostic value of ultrasound in CTS in diabetic versus nondiabetic populations. J Hand Surg Glob Online. 2020;2(5):267–71.CrossRef
Metadata
Title
High-resolution neuromuscular ultrasound-based diagnosis of carpal tunnel syndrome in a sample of Egyptian population
Authors
Ahmed ElSadek
Mai Fathy
Amr AbdElMoneim
Publication date
01-12-2021
Publisher
Springer Berlin Heidelberg
DOI
https://doi.org/10.1186/s41983-021-00391-4

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