Abstract
The median nerve conduction velocity and particularly the delayed distal latency of the muscular response potential (DML, distal motor latency) constitute — in addition to the clinical symptoms — the electrophysiological confirmation of carpal tunnel syndrome [2, 3, 6]. Since, however, a clinically relevant carpal tunnel syndrome in need of surgical therapy may also be found with normal nerve conduction times, DML is only an additional diagnostic measure secondary to the clinical signs [1, 4]. Furthermore, neurophysiological methods do not permit the differentiation of patients by those suited for conservative treatment and those who must be operated on. It is also not possible to derive any prognostic statements from the preoperative measurements [4].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Goodgold J, Eberstein A (1977) Electrodiagnosis of neuromuscular diseases. Williams & Wilkins, Baltimore, pp 114–118.
Hopf HC (1974) Elektromyographie. Thieme, Stuttgart, pp 119–127.
Hudson A, Berry H, Mayfield F (1982) Chronic injuries of peripheral nerves by entrapment. In: Youmans JR (ed) Neurological surgery, vol. 4. Saunders, Philadelphia, London, Toronto, Mexico City, Sydney, Tokyo, pp 2430–2474.
Leblhuber F, Reisecker F, Witzmann A (1985) Zur Frage elektrodiagnostischer Veränderungen in bezug auf die Schwere morphologischer Veränderungen beim Karpaltunnelsyndrom. In: Hohmann D (ed) Neuroorthopädie III. Springer, Berlin Heidelberg New York Tokyo, pp 332–336.
Sunderland S (1978) Nerves and nerve injuries. Churchill Livingstone, Edinburgh London New York, pp 718–721.
Thomas JE, Lambert EH, Csenz KA (1967) Electrodiagnostic aspects of the carpal tunnel syndrome. Archs Neurol (Chicago) 16:635–641.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Rath, S.A., Klein, H.J., Kühn, A., Wippermann, V. (1990). Postoperative Changes in Nerve Conduction Times After Neurolysis of the Distal Median Nerve. In: Samii, M. (eds) Peripheral Nerve Lesions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75611-5_38
Download citation
DOI: https://doi.org/10.1007/978-3-642-75611-5_38
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-75613-9
Online ISBN: 978-3-642-75611-5
eBook Packages: Springer Book Archive