Department of Neurology, Faculty of Medicine, University of Harran, 63300 Sanliurfa, Turkey.
Neurol Sci. 2011 Oct;32(5):849-54. doi: 10.1007/s10072-011-0669-2. Epub 2011 Jul 1.
Objective of this study was to determine which nerve conduction is more sensitive electrophysiologically in the diagnosis of polyneuropathy in diabetics by evaluating the sensory conduction in medial plantar nerve and medial peroneal (dorsal) cutaneous nerves. Additionally to investigate the relation between Neuropathy Symptom Score (NSS) and Neuropathy Disability Score (NDS) values used in the diagnosis of these conduction studies. Forty patients with diagnosis diabetic neuropathy were included into this study. In diabetic polyneuropathic patient group, both medial plantar and medial dorsal cutaneous nerve sensory action potential were not bilaterally obtained in 19 patients (47.5%). Sensitivity and specificity of medial dorsal cutaneous nerve and medial plantar nerve sensory conduction abnormalities in diagnosis of diabetic polyneuropathy were higher compared to sural nerve conduction abnormalities. This study showed that both medial plantar and medial dorsal cutaneous nerve conduction study performed bilaterally was a highly sensitive and specific method in diagnosis of diabetic neuropathy.
本研究旨在通过评估内侧足底神经和内侧腓肠（背侧）皮神经的感觉传导，确定哪种神经传导在诊断糖尿病多发性神经病方面具有更高的电生理敏感性。此外，还研究了神经症状评分（NSS）和神经病变残疾评分（NDS）值与这些传导研究诊断之间的关系。本研究纳入了 40 例诊断为糖尿病神经病的患者。在糖尿病多发性神经病患者组中，19 例（47.5%）患者双侧均未获得内侧足底和内侧腓肠皮神经感觉动作电位。内侧腓肠皮神经和内侧足底神经感觉传导异常在诊断糖尿病多发性神经病方面的敏感性和特异性高于腓肠神经传导异常。本研究表明，双侧同时进行内侧足底和内侧腓肠皮神经传导研究是一种高度敏感和特异的诊断糖尿病神经病的方法。
