Alanazy Mohammed H
Division of Neurology, Department of Internal Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-Mail:
Neurosciences (Riyadh). 2017 Jul;22(3):169-180. doi: 10.17712/nsj.2017.3.20160638.
One of the most common referrals to the electrodiagnostic (EDX) laboratory is to confirm a clinical impression of carpal tunnel syndrome (CTS). The EDX studies are valuable in localizing median nerve abnormalities to the wrist, grading its severity, and excluding other condition that can mimic or coexist with CTS. However, there are many clinical and EDX pitfalls that can lead to misdiagnosis. Careful clinical assessment and attention to technical factors and details of the EDX techniques are fundamental for the quality and accurate interpretation of the study. This review aims to discuss the clinical and the EDX approaches to the diagnosis of CTS with emphasis on the commonly encountered pitfalls.
电诊断（EDX）实验室最常见的转诊原因之一是确认腕管综合征（CTS）的临床诊断。EDX检查对于将正中神经异常定位到手腕、评估其严重程度以及排除其他可与CTS相似或并存的疾病很有价值。然而，存在许多可能导致误诊的临床和EDX陷阱。仔细的临床评估以及对EDX技术的技术因素和细节的关注是保证检查质量和准确解读的基础。本综述旨在讨论CTS诊断的临床和EDX方法，重点关注常见的陷阱。
