Celiker R

Dyck PJ

Glass I

Grant IA

Harati Y

Jabre JF

Negrin P

Rosenbaum RB

Senol MG

Tack CJ

Thomas PK

Togrol E

Wiles CM

Windebank AJ

 This study assessed the sensitivity of various methods for the clinical diagnosis of diabetic peripheral neuropathy. A total of 147 randomly selected patients with diabetes mellitus and 65 age- and sex-matched healthy controls were evaluated by various clinical (the neuropathy symptom score [NSS], the neuropathy disability score [NDS], vibration perception thresholds [VPTs], Tinel's sign and Phalen's sign), laboratory (fasting plasma glucose and glycosylated haemoglobin levels) and electrophysiological (nerve conduction studies, H-reflex and F-wave measurements) methods. In the patient group, 8.2% had an abnormal NSS, 28.5% had a positive Phalen's sign, 32.6% had a positive Tinel's sign, 42.8% had an abnormal VPT and 57.1% had an abnormal NDS. Significant correlations were found between electrophysiologically confirmed neuropathy and the two provocation tests and abnormal VPTs. In conclusion, assessment with a complete neurological examination and standard electrophysiological tests is very important for the diagnosis of diabetic peripheral neuropathy and the prevention of morbidity in patients with or without symptoms. </jats:p

ME Onde

A Ozge

MG Senol

E Togrol

F Ozdag

M Saracoglu

H Misirli

Crossref

Journal of International Medical Research

The Sensitivity of Clinical Diagnostic Methods in the Diagnosis of Diabetic Neuropathy

The Sensitivity of Clinical Diagnostic Methods in the Diagnosis of Diabetic Neuropathy

Abstract

Similar works

Full text

Available Versions

Crossref