KMID : 1001920120510050286
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Journal of Korean Neurosurgical Society 2012 Volume.51 No. 5 p.286 ~ p.291
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Changes in Dermatomal Somatosensory Evoked Potentials according to Stimulation Intensity and Severity of Carpal Tunnel Syndrome
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Sohn Soo-Youn
Seo Jeong-Hwan Min Yong Seo Min-Ho Eun Jong-Pil Song Kyung-Jin
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Abstract
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Objective: To investigate the change of latency of cervical dermatomal somatosensory evoked potential (DSEP) according to stimulation intensity (SI) and severity of carpal tunnel syndrome (CTS).
Methods: Stimulation sites were the C6, C7, and C8 dermatomal areas. Two stimulation intensities 1.5¡¿sensory threshold (ST) and 2.5¡¿ST were used on both normal and CTS patients.
Results: In moderate CTS, the latencies of C6 and C7 DSEP during 1.5¡¿ST SI and those of C7 DSEP during 2.5¡¿ST SI were significantly delayed compared with the values of normal subjects. Significant correlation between the latency of C7 DSEP of 2.5¡¿ST stimulation and the median sensory nerve conduction velocity was observed.
Conclusion: We suggest that these data can aid in the diagnosis of cervical sensory radiculopathy using low stimulation intensity and of those who have cervical sensory radiculopathy combined with CTS patients.
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KEYWORD
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Carpal tunnel syndrome, Dermatomal somatosensory evoked potential, Stimulation intensity, Stimulation threshold, Sensory radiculopathy
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