Time course of nerve conduction and neurologic disability score
Patient 1 | Patient 2 | Patient 3 | ||||||
---|---|---|---|---|---|---|---|---|
1* | 2* | 30* | 1* | 30* | 1* | 14* | Normal limit | |
Values in bold type are abnormal results. | ||||||||
*Hospital day. | ||||||||
NR, no response; CMAP, compound motor action potential; DL, distal latency; NCV, nerve conduction velocity; Amp, amplitude (peak-to-peak); SNAP, sensory nerve action potential; NDS, neurologic disability score. | ||||||||
The skin temperature was kept above 32°C. Median nerve CMAPs and SNAPs were recorded with stimulus sites at the wrist and the elbow. | ||||||||
Tibialis nerve CMAPs were recorded at the ankle and the knee. | ||||||||
Median nerve CMAP | ||||||||
DL (ms) | 3.55 | 3.55 | 3.65 | 3.95 | 3.65 | 3.30 | 3.75 | <3.8 |
NCV (m/s) | 54.7 | 57.8 | 56.2 | 54.7 | 58.5 | 60.6 | 56.3 | >54.3 |
Amp (mV) | 6.0/5.7 | 4.0/3.9 | 10.6/10.4 | 4.1/3.6 | 10.4/9.8 | 13.5/12.1 | 27.0/25.9 | >5.4 |
Tibialis nerve CMAP | ||||||||
DL (ms) | 3.75 | 3.75 | 3.85 | 4.60 | 4.60 | 4.00 | 4.50 | <4.7 |
NCV (m/s) | 51.9 | 48.9 | 48.8 | 41.5 | 43.5 | 51.0 | 50.7 | >40.0 |
Amp (mV) | 5.4/5.0 | 2.6/2.1 | 7.3/6.2 | 2.7/2.4 | 6.2/6.0 | 11.4/10.8 | 19.5/14.8 | >5.8 |
Median nerve SNAP | ||||||||
NCV (m/s) | 55.8/60.3 | 57.9/57.2 | 60.3/60.1 | 43.4/42.5 | 46.4/47.4 | 55.6/63.3 | 55.6/59.6 | >40.6 |
Amp (μV) | 14/13 | 8/6 | 31/18 | 6/5 | 19/16 | 68/56 | 101/66 | >16 |
Sural nerve SNAP | ||||||||
NCV (m/s) | 42.5 | NR | 45.5 | NR | 45.5 | 59.1 | 54.5 | >40.6 |
Amp (μV) | 1.7 | NR | 7.0 | NR | 6.4 | 11.3 | 29.2 | >6.3 |
NDS | 60 | 64 | 8 | 72 | 10 | 24 | 2 | <2 |