Ultrasonogrpahic examination of peripheral nerves in diabetic peripheral neuropathy
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 12
Abstract
Aim: Ultrasonographic examination of peripheral nerves in diabetic peripheral neuropathy patients (DPN) and comparison of findings with healthy controls. Methods: 50 patients clinically diagnosed with diabetic peripheral neuropathy and 50 healthy non-diabetic subjects taken as controls were analysed. The cross sectional area (CSA)of the median nerve, ulnar nerve, common peroneal nerve and posterior tibial nerve was measured at predetermined sites. The mean CSA was calculated and compared among both groups. Results: There was a significant increase in CSA of median nerve (11.00±1.64 mm2, 10.26±1.67 mm2 and 9.98±1.67 mm2 at 5 cms proximal to wrist crease, at mid forearm and at elbow joint respectively vs 7.34±1.23 mm2, 6.80±0.80 mm2 and 11.00±1.64 mm2), ulnar nerve (8.30±1.34 mm2 and 9.20±1.17 mm2 at wrist joint and behind medial epicondyle respectively vs 6.90±0.86 mm2and 7.38±0.96 mm2), common peroneal nerve (9.16±1.76 mm2 vs 7.02±1.18 mm2at neck of fibula) and posterior tibial nerve (9.08±1.71 mm2 vs 6.86±0.99 mm2 at 3cms proximal to medial malleolus) in DPN patients as compared with healthy controls. The difference was statistically significant at p value of 0.001. Conclusion: This study of confirms that the CSA of the peripheral nerves is larger in patients with DPN compared with healthy controls and that ultrasonography is a promising point-of-care screening tool for DPN.
Authors and Affiliations
Ramesh Chander, Navtej Singh VK Rampal, N. S. Neki
Keywords
Related Articles
- EP ID EP548962
- DOI 10.22192/ijcrms.2018.04.12.008
- Views 255
- Downloads 0
Cross sectional study to evaluate rapid diagnostic test (Typhidot-M) as a tool for early diagnosis of Typhoid fever keeping blood culture as gold standard.
Introduction: Typhoid fever is highly prevalent in India with hight rate of morbidity and mortality. There is paucity of data from India for its rapid detection by Rapid diagnostic test like Typhidot-M . Thus this study...
The effect of light on the specimens of serum bilirubin in clinical laboratory
Background: Laboratories can influence the stability of bilirubin by the type of light used in the laboratory which has direct impact on the quantitative estimation of the bilirubin. Objective: To compare the levels of t...
Pre-clinical toxicological profiling of Siddha formulation Sambirani Poo Kuligai by Acute and Sub-acute toxicity studies in accordance with OECD Guidelines
In recent times use of traditional medicines has been conventionally increased globally. Short-term and long-term toxicity studies with rodents are generally conducted for 14 or 28 days. Results of these studies can help...
Acute Anti-inflammatory activity of Eraippu Noi Chooranam on carrageenan induced paw edema in wistar albino rats
The aim of the present study was to explore the probable anti-inflammatory activity of aqueous extract of Eraippu Noi Chooranamusing Carrageenan induced inflammation in wistar rats. The medicinal value of the ingredients...
Suttigai [Cauterization] in Siddha system of Medicine.
Siddha system of Medicine is one of the ancient systems of medicine practice in Southern part of India. This system is elaborately written in Tamil literature. There are 32 types of external Medicines in this system of m...