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Pathophysiology inferred from electrodiagnostic nerve tests and classification of polyneuropathies. Suggested guidelines.

Identifieur interne : 000531 ( PubMed/Corpus ); précédent : 000530; suivant : 000532

Pathophysiology inferred from electrodiagnostic nerve tests and classification of polyneuropathies. Suggested guidelines.

Auteurs : Hatice Tankisi ; Kirsten Pugdahl ; Anders Fuglsang-Frederiksen ; Birger Johnsen ; Mamede De Carvalho ; Peter R W. Fawcett ; Annick Labarre-Vila ; Rocco Liguori ; Wilfred A. Nix ; Ian S. Schofield

Source :

RBID : pubmed:15907395

English descriptors

Abstract

To present criteria for pathophysiological interpretation of motor and sensory nerve conduction studies and for pathophysiological classification of polyneuropathies suggested by a group of European neurophysiologists.

DOI: 10.1016/j.clinph.2005.04.003
PubMed: 15907395

Links to Exploration step

pubmed:15907395

Le document en format XML

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<term>Axons (physiology)</term>
<term>Databases, Factual (trends)</term>
<term>Demyelinating Diseases (diagnosis)</term>
<term>Demyelinating Diseases (physiopathology)</term>
<term>Education</term>
<term>Electrodiagnosis (methods)</term>
<term>Electrodiagnosis (standards)</term>
<term>Electrophysiology (methods)</term>
<term>Electrophysiology (standards)</term>
<term>Europe</term>
<term>Hereditary Sensory and Autonomic Neuropathies (classification)</term>
<term>Hereditary Sensory and Autonomic Neuropathies (diagnosis)</term>
<term>Hereditary Sensory and Autonomic Neuropathies (physiopathology)</term>
<term>Humans</term>
<term>International Cooperation</term>
<term>Motor Neurons (physiology)</term>
<term>Neural Conduction (physiology)</term>
<term>Neurologic Examination</term>
<term>Neurons, Afferent (physiology)</term>
<term>Neurophysiology (methods)</term>
<term>Neurophysiology (standards)</term>
<term>Peripheral Nerves (physiopathology)</term>
<term>Polyneuropathies (classification)</term>
<term>Polyneuropathies (diagnosis)</term>
<term>Polyneuropathies (physiopathology)</term>
<term>Prospective Studies</term>
<term>Reaction Time (physiology)</term>
<term>Software Design</term>
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<term>Europe</term>
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<term>Hereditary Sensory and Autonomic Neuropathies</term>
<term>Polyneuropathies</term>
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<term>Demyelinating Diseases</term>
<term>Hereditary Sensory and Autonomic Neuropathies</term>
<term>Polyneuropathies</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Electrodiagnosis</term>
<term>Electrophysiology</term>
<term>Neurophysiology</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Axons</term>
<term>Motor Neurons</term>
<term>Neural Conduction</term>
<term>Neurons, Afferent</term>
<term>Reaction Time</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Demyelinating Diseases</term>
<term>Hereditary Sensory and Autonomic Neuropathies</term>
<term>Peripheral Nerves</term>
<term>Polyneuropathies</term>
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<term>Electrodiagnosis</term>
<term>Electrophysiology</term>
<term>Neurophysiology</term>
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<term>Databases, Factual</term>
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<front>
<div type="abstract" xml:lang="en">To present criteria for pathophysiological interpretation of motor and sensory nerve conduction studies and for pathophysiological classification of polyneuropathies suggested by a group of European neurophysiologists.</div>
</front>
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<Month>06</Month>
<Day>14</Day>
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<DateCompleted>
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<Month>08</Month>
<Day>11</Day>
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<Issue>7</Issue>
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<Title>Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology</Title>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To present criteria for pathophysiological interpretation of motor and sensory nerve conduction studies and for pathophysiological classification of polyneuropathies suggested by a group of European neurophysiologists.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Since 1992 seven neurophysiologists from six European countries have collected random samples of their electrodiagnostic examinations for peer review medical audit in the ESTEEM (European Standardized Telematic tool to Evaluate Electrodiagnostic Methods) project. Based on existing criteria in the literature, the experience with a patient material of 572 peer reviewed electrodiagnostic examinations, and productive discussions between the physicians at workshops, the collaboration has produced a set of criteria now routinely used at the centres involved in the project.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The first part of the paper considers pathophysiology of individual nerve segments. For interpretation of motor and sensory nerve conduction studies, figures showing change in amplitude versus change in conduction velocity/distal latency and change in F-wave frequency versus change in F-wave latency are presented. The suggested boundaries delimit areas corresponding to normal, axonal, demyelinated, or neuropathic nerve segments. Criteria for motor conduction block in upper and lower extremities are schematically depicted using the parameters CMAP amplitude and CMAP duration. The second part of the paper suggests criteria for classification of polyneuropathies into axonal, demyelinating, or mixed using the above-mentioned criteria.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The suggested criteria are developed during many years of collaboration of different centres and may be useful for standardization in clinical neurophysiology.</AbstractText>
<AbstractText Label="SIGNIFICANCE" NlmCategory="CONCLUSIONS">Consistent interpretation of nerve conduction studies is an important step in optimising diagnosis and treatment of nerve disorders.</AbstractText>
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