Carpal Tunnel Syndrome in Amyotrophic Lateral Sclerosis and Late Onset Cerebellar Ataxia

Mondelli, Mauro; Porta, P. Della; Zalaffi, Alessandro; Rossi, Alessandro

doi:10.1016/s0266-7681(96)80065-9

Cited by 5 publications

(2 citation statements)

References 25 publications

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“…Motor conduction velocity from elbow to wrist, distal motor latency (DML) and compound muscle action potential amplitude (CMAPa) were also measured in the ulnar and median nerves. The exams were performed as described by Cioni et al [15] and as reported in detail elsewhere [16,17].…”

Section: Methodsmentioning

confidence: 99%

Requests for electromyography from general practitioners and specialists: critical evaluation

Mondelli¹,

Giacchi

Federico

1998

Ital J Neuro Sci

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In order to improve the quality of service and limit costs of a local electromyographic service, the requests for electromyographic (EMG) examination issued by general practitioners and specialists were critically evaluated. The diagnoses suspected by referring doctors were compared with medical history and clinical data to analyze (1) the utility of EMG for the final diagnosis and (2) the concordance with that of the neurophysiologist and with the EMG results. In 1994 and 1995, there were 3482 patients referred to the EMG service. Only patients undergoing EMG for the first time (2706 subjects) were considered. In 76.6% of cases, the referring doctor had indicated the suspected diagnosis in the request. This diagnosis was compatible with medical history, symptoms and the results of neurological examination in 57.6% of cases. In 77.2%, the neurophysiologist considered the EMG useful in confirming the clinical diagnosis. The suspected diagnosis was confirmed by the clinical diagnosis of the neurophysiologist and by the EMG results in 54.2% and 45.4% of cases, respectively. When the request was issued by neurosurgeons, neurologists, orthopedists, rheumatologists and physiatrists, the suspected diagnosis was more accurate; as a consequence the EMG was more correctly oriented than when the request was issued by other specialists or by general practitioners. It is recommended that neurological examination be a prerequisite for EMG requests issued by general practitioners.

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Section: Methodsmentioning

confidence: 99%

Requests for electromyography from general practitioners and specialists: critical evaluation

Mondelli¹,

Giacchi

Federico

1998

Ital J Neuro Sci

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“…Nerve conduction studies were performed according to published recommendations1 and included distal motor latencies (DMLs), compound muscle action potential amplitudes (CMAPa), motor conduction velocities of the median and ulnar nerves from elbow to wrist, and sensory conduction velocities (SCVs) from the third and fourth fingers to wrist for the median nerves and from fourth finger to wrist for the ulnar nerves 4, 10…”

Section: Methodsmentioning

confidence: 99%

Sympathetic skin response before and after surgical release of carpal tunnel syndrome

Mondelli¹,

Vecchiarelli

Reale

et al. 2001

Muscle Nerve

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Sympathetic skin response (SSR) was performed before and 1 year after surgical release of the median nerve in 20 subjects (mean age 52.8 years) with unilateral idiopathic carpal tunnel syndrome (CTS). SSR was evoked by stimulation of the ulnar nerve at the wrist contralateral to the side with CTS, recording from the palm, third (M3) and fifth fingers, and from the third finger contralateral to the side of CTS (M3c). Before surgery, anomalies of M3 SSR were found in 8 hands (40%): M3 SSR was absent in 1 hand; and the M3c/M3 SSR largest area ratio was abnormal in 7 hands, 3 of which also had abnormal mean differences between M3 and M3c SSR latencies. M3 SSRs were not significantly modified after surgery. The absence of postsurgical improvement may be due to the poor reinnervation capacity of sympathetic fibers. © 2001 John Wiley & Sons, Inc. Muscle Nerve 24: 130–133, 2001.

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Relationship between the Self-Administered Boston Questionnaire and Electrophysiological Findings in Follow-Up of Surgically-Treated Carpal Tunnel Syndrome

Mondelli

Reale

Sicurelli

et al. 2000

Journal of Hand Surgery

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129

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A prospective study of electrophysiological examination and the Boston self-administered questionnaire (BQ) was carried out in patients with surgically-treated carpal tunnel syndrome. There were 104 hands in 93 patients (13 men and 80 women, mean age 56 years). The BQ was used to assess the severity of symptoms and function, and nerve conduction studies were done before surgical release by short incision at the palm, and at follow-ups 1 and 6 months after surgery. The BQ severity score improved or became normal in 98% of hands. The mean BQ scores and distal sensory and motor conduction velocities in the median nerve showed significant improvement at the 1 month follow-up. Further significant improvement was found at 6 months. There was no relationship between the improvements in BQ scores and the distal conduction in the median nerve. The degree of improvement in sensory and motor distal conduction velocities could be forecast from presurgical values, whereas the degree of improvement in the symptoms and the functional status after release could not be predicted from the presurgical BQ scores.

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Carpal Tunnel Syndrome in Amyotrophic Lateral Sclerosis and Late Onset Cerebellar Ataxia

Cited by 5 publications

References 25 publications

Requests for electromyography from general practitioners and specialists: critical evaluation

Requests for electromyography from general practitioners and specialists: critical evaluation

Sympathetic skin response before and after surgical release of carpal tunnel syndrome

Relationship between the Self-Administered Boston Questionnaire and Electrophysiological Findings in Follow-Up of Surgically-Treated Carpal Tunnel Syndrome

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