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Carpal Tunnel Syndrome in Patients with and without Diabetes Mellitus in Upper Egypt: The Impact of Electrophysiological and Ultrasonographical Studies
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Journal of Arthritis

ISSN - 2167-7921

Research Article - (2017) Volume 6, Issue 5

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Carpal Tunnel Syndrome in Patients with and without Diabetes Mellitus in Upper Egypt: The Impact of Electrophysiological and Ultrasonographical Studies

Abeer A Tony1*, Effat AE Tony2, Yasser ARM Selim3 and Ehab Saad4
1omi_departments of Neurology, Faculty of Medicine, Aswan University, Egypt, E-mail: effattony@aun.edu.eg
2Internal Medicine, Assuit University, Egypt, E-mail: effattony@aun.edu.eg
3Radiology, Faculty of Medicine, Aswan University, Egypt, E-mail: effattony@aun.edu.eg
4Rheumatology and Rehabilitation, South-Vally University, Qena, Egypt, E-mail: effattony@aun.edu.eg
*Corresponding Author: Abeer A Tony, Lecturer of Neurlogy, Department of Neuropsychiatry, Neurology unit, Faculty of Medicine, Aswan University, Aswan, 77777, Egypt, Fax: 097-3480449,

Abstract

Introduction: Reports about median nerve CSA measurements between CTS patients with and without DM are actually scant. This study aimed to correlate the diagnostic accuracy of ultrasonography with electrodiagnosis in both DM and non-DM CTS patients. Patients and Methods: Thirty six non-diabetic patients and twenty five diabetic patients with CTS were assessed. All patients were subjected to electrophysiological assessment of wrists and grayscale ultrasonography (US).

Results: High mean cross sectional area of median nerve (CSA) on ultrasonography was detected with nonsignificant difference between both groups. A non-significant difference for flattening ratio was found between two groups. There was a highly significant positive correlation between electrodiagnosis and ultrasonography in diabetic patients.

Conclusion: The CSA of median nerve is larger in CTS hands in both DM and non-DM patients. The combination of electrophysiology and ultrasonography provides diagnostic effective tools across the entire spectrum of CTS in diabetic and non-diabetic patients.

Keywords: Carpal tunnel syndrome (CTS); Diabetes mellitus (DM); Diabetic polyneuropathy (DPN); Electromyography (EMG); Nerve conduction (NCS); Ultrasonography (US)