الفهرس | Only 14 pages are availabe for public view |
Abstract T he main role of this study was to highlight the value of musculoskeletal US in the diagnosis of nerve affection in patients with DPN. This was evident by the significant correlation between CSA and all study parameters with sensitivity and specificity of 90% and 100% respectively. These values could be attributed to working in a tertiary hospital, where the cases were presented in advanced stages of the disease. We found that the CSA in patients with DPN is significantly larger than the healthy controls. A positive significant correlation was found between CSA and duration of diabetes, HbA1c% and TN latency while a negative significant correlation was found with TN amplitude and conduction velocity. Despite giving significantly larger values in cases than controls, MTNF was found to non-significantly correlated with all studied parameters. In view of the above data, CSA can be adopted as a reliable screening and diagnostic tool for DPN but further work-up is needed to assess its role in the follow up of the disease process. On the other hand, MTNF can be used for description of the morphological changes in a diabetic nerve. |