Annals of Clinical and Experimental NeurologyAnnals of Clinical and Experimental NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-2533Eco-Vector30510.17816/psaic305ReviewsОбзорыUnknownElectroneuromyography in the diagnosis of carpal tunnel syndromeЭлектронейромиография в диагностике запястного туннельного синдромаSavitskayaN. G.СавицкаяН. Г.
Russian Federation
elirom@mail.ruPavlovEduard V.ПавловЭдуард Викторович
Russian Federation
elirom@mail.ruShcherbakovaN. I.ЩербаковаН. И.
Russian Federation
elirom@mail.ruYankevichD. S.ЯнкевичД. С.
Russian Federation
elirom@mail.ruResearch Center of NeurologyФГБНУ «Научный центр неврологии»1306201152404503022017Copyright ©; 2011, Savitskaya N.G., Pavlov E.V., Shcherbakova N.I., Yankevich D.S.Copyright ©; 2011, Savitskaya N.G., Pavlov E.V., Shcherbakova N.I., Yankevich D.S.2011Savitskaya N.G., Pavlov E.V., Shcherbakova N.I., Yankevich D.S.Savitskaya N.G., Pavlov E.V., Shcherbakova N.I., Yankevich D.S.https://creativecommons.org/licenses/by/4.0https://annaly-nevrologii.com/pathID/article/view/305

The review is devoted to modern methods of electrophysiological evaluation of median nerve damage in the carpal tunnel (the so-called carpal tunnel syndrome, CTS) which is the most frequently diagnosed form of compression neuropathy of the upper extremities. Specificity and sensitivity of different methods of electromyography (EMG) in diagnostics of the disease, as well as in determining subclinical patterns of nerve involvement and indications for optimal treatment choice are demonstrated. EMG criteria of the CTS severity are provided. A protocol of EMG evaluation of patients suspected for CTS, based on most sensitive methods, is presented. The need of comprehensive electrophysiological evaluation of patients with median nerve lesions is shown, with special attention to exclusion of hereditary neuropathy. Problems of differential and false-positive diagnosis of CTS are considered.

Обзор посвящен современным методам электрофизиологической оценки поражения срединного нерва в запястном канале – так называемого запястного туннельного синдрома (ЗТС), который является самой часто диагностируемой компрессионной невропатией верхних конечностей. Показана специфичность и чувствительность различных методов электронейромиографии (ЭНМГ) в постановке диагноза, определении субклинических типов поражения нерва и показаний для выбора оптимального вида лечения. Даны ЭНМГ-критерии степени тяжести ЗТС. Предложен протокол электронейромиографического обследования пациентов с подозрением на ЗТС, основанный на наиболее чувствительных методиках. Показана необходимость проведения расширенного электрофизиологического обследования пациентов с поражением срединного нерва, в первую очередь для исключения наследственной невропатии. Освящены вопросы дифференциальной и ложноположительной диагностики ЗТС.

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