Relationships between the global symptom score and electrophysiological findings after surgical release for carpal tunnel syndrome: Indications and outcomes.
Acta Neurochir (Wien)
; 166(1): 228, 2024 May 23.
Article
in En
| MEDLINE
| ID: mdl-38780808
ABSTRACT
PURPOSE:
Regarding surgical indications for carpal tunnel syndrome (CTS), the hypothesis that the recovery processes of subjective symptoms differ among pain, sensory, and motor symptoms and correlate with recovery in objective nerve conduction studies was examined in the present study.METHODS:
The global symptom score (GSS) is a method used to assess clinical outcomes and covers subjective symptoms, including pain (pain and nocturnal awakening), sensory (numbness and paresthesia), and motor (weakness/clumsiness) symptoms. The relationships between long-term changes in GSS and recovery in nerve conduction studies were investigated.RESULTS:
Forty patients (40 hands) were included (mean age 65 years; 80% female; 68% with moderate CTS sensory nerve conduction velocity < 45 m/s and motor nerve distal latency > 4.5 ms). Pain and nocturnal awakening rapidly subsided within 1 month after surgery and did not recur in the long term (median 5.6 years). Paresthesia significantly decreased 3 months after surgery and in the long term thereafter. Weakness/clumsiness significantly decreased at 1 year. Sensory nerve distal latency, conduction velocity, and amplitude significantly improved 3 months and 1 year after surgery, and correlated with nocturnal awakening in the short term (3 months) in moderate CTS cases. The patient satisfaction rate was 91%.CONCLUSION:
Rapid recovery was observed in pain and nocturnal awakening, of which nocturnal awakening correlated with the recovery of sensory nerve conduction velocity. Patients with pain symptoms due to moderate CTS may benefit from surgical release.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Carpal Tunnel Syndrome
/
Neural Conduction
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
Acta Neurochir (Wien)
/
Acta neurochir
/
Acta neurochirurgica
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: