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Clinical Utility of Dorsal Sural Nerve Conduction Studies in Patients with Polyneuropathy and Normal Sural Response

Joong-Yang Cho, Jae-Hyeok Heo, Ju-Hong Min, Nam-Hee Kim
Journal of the Korean Society of Clinical Neurophysiology 2005;7(2):97-100.
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Background
The most distal sensory fibers of the feet are often affected first in polyneuropathy. However, they are not evaluated in routine nerve conduction studies. Thus we evaluated the dorsal sural sensory nerve in patients with sensorimotor polyneuropathy with normal sural response, in order to assess the usefulness in electrodiagnostic practice.Methods: In this study, 53 healthy subjects and 27 patients with clinical evidence of sensorimotor polyneuropathy were included. In all subjects, peripheral motor and sensory nerve studies were performed on the upper and lower limbs including dorsal sural nerve conduction studies. On electrodiagnostic testing, all patients had normal sural responses.Results: The dorsal sural sensory nerve action potentials (SNAPs) mean amplitude was 13.12

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