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CLINICAL FEATURES AND NERVE ELECTROPHYSIOLOGY IN CARBON TUBE SYNDROME AT SOC TRANG GENERAL HOSPITAL
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Abstract
Background: Early diagnosis and treatment of Carpal tunnel syndrome to prevent irreversible median nerve damage is essential. Objectives: To investigate the clinical and electrophysiological features of Carpal tunnel syndrome. Finding the relationship between clinical features and neuroelectrophysiology in Carpal tunnel syndrome. Materials and methods: Series of cases (34 cases), at the electromyography room of Soc Trang Province General Hospital. Results: The proportion of female patients is more than male (female: male ratio = 2.8:1), average age is 44.6 ± 9.96, the occupation of farmers is the largest (32.4%), 100% of patients had symptoms of numbness, 94.1% of pain, and 47.1% of muscle atrophy. The mean symptomatic Boston score of 3.08 ± 1.12 was higher than the mean functional Boston score (2.63 ± 1.56, p<0.001). Grading of neurological electrophysiology: the average group accounts for the highest rate of 29.4%. There is a relationship between the two groups with and without symptoms of numbness and tingling at all electrophysiological levels, with p = 0.002. There is a positive correlation between symptomatic and functional Boston grading and electrophysiological grading with r=0.407, r=0.368, p<0.05). Conclusion: Neurological electrophysiology plays a very important role in the diagnosis of Carpal tunnel syndrome, and help to assess the level of damage to the median nerve.
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Keywords
Carpal tunnel syndrome, neurological electrophysiology, Boston scale
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