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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(3):601-609.
Somatosensory Evoked Potential and Nerve Conduction Studies in Diabetic Patients.
Song, Dae Heon , Kim, Yoon Tae , Kang, Sae Yoon , Shin, Ji Nam
Department of Rehabilitation Medicine, The Catholic University of Korea, School of Medicine.
당뇨병 환자에서의 체성감각유발전위검사 및 신경전도검사
송대헌, 김윤태, 강세윤, 신지남
가톨릭대학교 의과대학 재활의학교실

This study aims the electrophysiological documentation of possible neurological abnormalities in diabetic patients with or without neuropathy symptoms.

Forty five diabetic patients, 15 male and 30 female, were included in this study. They were divided into symptomatic and asymptomatic groups and received various electrophysiologic studies including a nerve conduction study, F-wave study and median and tibial SSEP study. The clinical parameters were the clinical symptom and sign of neuropathy, disease duration, complications, HbA1c, and fasting blood sugar. Statistical significances of the parameters were observed between symptomatic and asymptomatic groups.

The most sensitive electrophysiologic parameter was the tibial SSEP. For the documentation of diabetic neuropathy, the electrophysiologic study of posterior tibial, median, superficial peroneal and sural nerves were most useful. F-wave study did not reflect the early involvement of proximal nerve segment in diabetic patients.

Multimodal neurophysiological approaches including a tibial SSEP study rather than the conventional nerve conduction studies can depict a broader and more complete map of the possible abnormalities of diabetic neuropathy.

Key Words: Diabetic neuropathy, Somatosensory evoked potential, Nerve conduction study


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