دورية أكاديمية
أعرض في EDS

Different Tendencies in Muscle Ultrasound Characteristic in Amyotrophic Lateral Sclerosis and Chronic Inflammatory Demyelinating Polyradiculoneuropathy.

التفاصيل البيبلوغرافية
العنوان: Different Tendencies in Muscle Ultrasound Characteristic in Amyotrophic Lateral Sclerosis and Chronic Inflammatory Demyelinating Polyradiculoneuropathy.
المؤلفون: Hokkoku K; Department of Neurology, Teikyo University School of Medicine, Tokyo, Japan; and., Tsukamoto H; Department of Neurology, Teikyo University School of Medicine, Tokyo, Japan; and., Uchida Y; Department of Neurology, Teikyo University School of Medicine, Tokyo, Japan; and., Gatto DM; Department of Geriatrics, Neurosciences and Orthopaedics, Catholic University of the Sacred Heart, Rome, Italy., Sonoo M; Department of Neurology, Teikyo University School of Medicine, Tokyo, Japan; and.
المصدر: Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society [J Clin Neurophysiol] 2023 Jul 01; Vol. 40 (5), pp. 450-455. Date of Electronic Publication: 2021 Oct 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8506708 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-1603 (Electronic) Linking ISSN: 07360258 NLM ISO Abbreviation: J Clin Neurophysiol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2000->: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [New York, N.Y.] : Raven Press, [1984-
مواضيع طبية MeSH: Amyotrophic Lateral Sclerosis*/diagnostic imaging , Polyradiculoneuropathy, Chronic Inflammatory Demyelinating*/diagnostic imaging, Humans ; Action Potentials/physiology ; Muscle, Skeletal/innervation ; Arm ; Neural Conduction/physiology
مستخلص: Introduction: The difference in muscle ultrasound (MUS) characteristics in primary axonal degeneration and demyelination has not been well established. The authors aimed to investigate the subject based on the correlation between MUS findings (echo intensity and muscle thickness) and compound muscle action potential (CMAP) amplitude in amyotrophic lateral sclerosis (ALS) and chronic inflammatory demyelinating polyradiculoneuropathy.
Methods: Fifteen patients with ALS and 16 patients with chronic inflammatory demyelinating polyradiculoneuropathy were examined. For each patient, echo intensity and muscle thickness of the abductor pollicis brevis, abductor digiti minimi, and first dorsal interosseous muscles were investigated. Compound muscle action potential amplitudes were measured by median and ulnar nerve conduction studies.
Results: In total, 45 muscles were evaluated in each group. The ALS group showed a linear correlation between the MUS finding and CMAP amplitude (rs = -0.70 and 0.59 for echo intensity and muscle thickness, respectively), whereas the chronic inflammatory demyelinating polyradiculoneuropathy group showed a weaker correlation than the ALS group (rs = -0.32 for echo intensity and rs = 0.34 for muscle thickness).
Conclusions: The relationship between MUS abnormalities and CMAP amplitude showed different tendencies in ALS and chronic inflammatory demyelinating polyradiculoneuropathy. The results suggested that MUS abnormalities substantially reflect the muscle function in primary axonal degeneration, whereas a discrepancy between MUS findings and muscle function can be frequently seen in demyelination; specifically, MUS findings tend to be normal even though CMAP showed a reduction. These tendencies originating from underlying pathophysiology should be considered when MUS findings are used as biomarkers of disease severity.
Competing Interests: The authors have no conflicts of interest to disclose.
(Copyright © 2022 by the American Clinical Neurophysiology Society.)
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تواريخ الأحداث: Date Created: 20230703 Date Completed: 20230705 Latest Revision: 20230705
رمز التحديث: 20231215
DOI: 10.1097/WNP.0000000000000898
PMID: 37399044
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-1603
DOI:10.1097/WNP.0000000000000898