PMID- 30680742 OWN - NLM STAT- MEDLINE DCOM- 20190705 LR - 20190705 IS - 1097-4598 (Electronic) IS - 0148-639X (Linking) VI - 59 IP - 4 DP - 2019 Apr TI - Electrophysiological determinants of the clinical severity of axonal peripheral neuropathy. PG - 491-493 LID - 10.1002/mus.26425 [doi] AB - INTRODUCTION: Electrophysiological diagnosis of axonal peripheral neuropathy (PN) is based on the attenuated amplitudes of nerve conduction studies (NCS), or a reduced sural/radial amplitude ratio (SRAR). We aimed to identify the electrophysiological determinants of the clinical severity of PN. METHODS: Patients with chronic axonal PN underwent detailed NCS. The clinical severity of PN was determined based upon the overall neuropathy limitations scale (ONLS). RESULTS: Ninety-five patients (71.6% males, mean age 71.9 +/- 9.0 years) were recruited. Significant correlations were observed between the radial sensory nerve action potential (SNAP) and the ONLS total score (Spearman's rho -0.382, p < 0.001); and between the tibial compound muscle action potential and the ONLS leg score (Spearman's rho -0.283, p = 0.005). No correlations between the SRAR and the ONLS scores were found. DISCUSSION: The radial SNAP is the strongest electrophysiological determinant of PN severity and might be useful for monitoring disease progression or response to treatment. Muscle Nerve 59:491-493, 2019. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Zis, Panagiotis AU - Zis P AUID- ORCID: 0000-0001-8567-3092 AD - Academic Department of Neurosciences, Sheffield Teaching Hospitals NHS Foundation Trust. FAU - Hadjivassiliou, Marios AU - Hadjivassiliou M AD - Academic Department of Neurosciences, Sheffield Teaching Hospitals NHS Foundation Trust. FAU - Rao, Dasappaiah Ganesh AU - Rao DG AD - Academic Department of Neurosciences, Sheffield Teaching Hospitals NHS Foundation Trust. FAU - Sarrigiannis, Ptolemaios Georgios AU - Sarrigiannis PG AD - Academic Department of Neurosciences, Sheffield Teaching Hospitals NHS Foundation Trust. LA - eng PT - Journal Article DEP - 20190211 PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 SB - IM MH - Action Potentials MH - Aged MH - Aged, 80 and over MH - Axons MH - Cross-Sectional Studies MH - Disease Progression MH - Electromyography MH - *Electrophysiological Phenomena MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neural Conduction MH - Peripheral Nervous System Diseases/*physiopathology MH - Radial Nerve/physiopathology MH - Sural Nerve/physiopathology OTO - NOTNLM OT - SRAR OT - electrodiagnostic OT - polyneuropathy OT - radial nerve OT - scale OT - severity EDAT- 2019/01/27 06:00 MHDA- 2019/07/06 06:00 CRDT- 2019/01/26 06:00 PHST- 2018/03/20 00:00 [received] PHST- 2019/01/15 00:00 [revised] PHST- 2019/01/19 00:00 [accepted] PHST- 2019/01/27 06:00 [pubmed] PHST- 2019/07/06 06:00 [medline] PHST- 2019/01/26 06:00 [entrez] AID - 10.1002/mus.26425 [doi] PST - ppublish SO - Muscle Nerve. 2019 Apr;59(4):491-493. doi: 10.1002/mus.26425. Epub 2019 Feb 11.