Measurement of median nerve cross sectional area with ultrasound and MRI in idiopathic carpal tunnel syndrome patients Idiopatik karpal tünel sendromlu hastalarda ultrason ve manyetik rezonans görüntüleme ile median sinir kesitsel alan ölçümleri


Duymuş M., ULAŞLI A. M., Yilmaz Ö., Asal N., Kacar M., Nacir B., ...Daha Fazla

Journal of Neurological Sciences, cilt.30, sa.1, ss.59-71, 2013 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 1
  • Basım Tarihi: 2013
  • Dergi Adı: Journal of Neurological Sciences
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.59-71
  • Anahtar Kelimeler: Carpal tunnel syndrome, Magnetic resonance imaging, Median nerve cross sectional area, Ultrasound
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

Objective: In this study we aimed to measure the cross sectional area of the median nerve with ultrasound and magnetic resonance imaging in three different levels of carpal tunnel and determine the correlation between two modalities. Material and Method: 56 wrists of 36 idiopatic carpal tunnel syndrome patients evaluated with ultrasound and magnetic resonance imaging. Median nerve cross sectional area measured at the level of inlet, midtunnel and outlet of the carpal tunnel with two modalities. Results: The highest statistically significant positive linear correlation determined between electromyography and magnetic resonance imaging measurement of media nerve cross sectional area in inlet (p<0,01). There is no significant significant difference found between the measurements median nerve cross sectional area at the level of outlet both ultrasound and magnetic resonance imaging (p>0,05). Conclusion: Both in ultrasound and magnetic resonance imaging median nerve cross-sectional area measurements showed no significant difference at the level of outlet. Positive significant correlation was found between electromyography degrees and cross-sectional area of the median nerve in ultrasound and magnetic resonance imaging. Measurement of median nerve cross-sectional area increases according with to the severity of carpal tunnel syndrome. It is possible to determine the anatomical variations in carpal tunnel syndrome patients, without distress to the patient, high-image quality and dynamically with sonography. Therefore, sonography should be the first radiological modality to evaluate the median nerve changes in idiopathic carpal tunnel syndrome patients.