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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(4):889-894.
Pitfalls in Superficial Radial Sensory Nerve Conduction Study.
Kim, Myeong Ok
Department of Rehabilitation Medicine, Inha University College of Medicine.
표재성 요골감각신경 전도검사에서의 문제 연구
김명옥
인하대학교 의과대학 재활의학교실
Abstract

Objective
To investigate the possibility of volume conduction in the superficial radial sensory nerve conduction study in patients with a complete radial nerve injury.


Method
In patients with a complete radial neuropathy, a superficial radial sensory nerve conduction study was carried out by an antidromic and orthodromic methods. Antidromic technique was carried out by increasing stimulus intensity gradually. Median palmar cutaneous nerve conduction study was also carried out by an antidromic method.


Results
When the stimulus intensity was significantly higher than the optimal technique, a median palmar cutaneous nerve action potential was evoked instead of the superficial radial nerve action potential. This is a volume conducting potential which occurrs following a high intensity stimulus.


Conclusion
Superficial radial sensory conduction study must be carried out by an optimal stimulus intensity and an orthodromic method to eliminate the effect of volume conduction.

Key Words: Superficial radial sensory nerve conduction, Volume conduction


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