COMPARATIVE ASSESSMENT OF DIAGNOSTIC VALUE OF ELECTRODIAGNOSTIC METHODS AND RADIOLOGIC EVALUATIONS IN PATIENTS WITH CLINICAL SIGNS OF CERVICAL RADICULOPATHY

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CHITSAZ A.; MOOSAVI S.A.; LALBAKHSH K.

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Journal: JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES Year:2006 | Volume:16 | Issue:54 Page(s): 14-20

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Title

COMPARATIVE ASSESSMENT OF DIAGNOSTIC VALUE OF ELECTRODIAGNOSTIC METHODS AND RADIOLOGIC EVALUATIONS IN PATIENTS WITH CLINICAL SIGNS OF CERVICAL RADICULOPATHY

Author(s)

CHITSAZ A. | MOOSAVI S.A. | LALBAKHSH K. | Issue Writer Certificate

Keywords

CERVICAL RADICULOPATHYQ3

SSEP: SOMATOSENSORY EVOKED POTENTIALSQ3

MRI: MAGNETIC RESONANCE IMAGINGQ3

EMG: ELECTROMYOGRAPHYQ3

NCV: NERVE CONDUCTION VELOCITYQ3

Abstract

Background and purpose: CERVICAL RADICULOPATHY is one of the most common diseases that must be diagnosed early and properly to prevent its serious side effects. For these purpose different paraclinical methods such as MRI, X-ray, EMG, NCV and SSEP are used. Each of these methods has its limitations and some of them are expensive or invasive. The aim of this study was to compare the electro diagnostic and radiologic methods in diagnosis of CERVICAL RADICULOPATHY.Materials and Methods: In this study 36 patients (22 Female, 14 Male) with complaint of cervical pain radiated to upper limbs were evaluated. The evaluation included EMG, NCV, MRI, X-ray and SSEP. Exclusion criteria were fracture dislocation and infection of bone joints or soft tissues .MRI and X-ray were performed in MRI centers of Isfahan, Sepahan and Alzahra hospital in Isfahan city. MRI was graded on severity of 1 to 3. EMG, NCV and SSEP were performed in electro diagnostic center of Alzahra hospital by one professional technician. Results were compared with text books and analyzed by SPSS software.Results: Sensitivity of SSEP was 28.6% and specifity was 100%. Partial agreement between SSEP and MRI existed in moderate and severe cervical involvements (P=0.005). Frequencies of abnormalities were: EMG 50%, NCV 5.6%, X-ray 33.3% and MRI 77.8%.Conclusion: This study shows that SSEP has lower value than EMG in diagnosis of CERVICAL RADICULOPATHY. Also in a patient with CERVICAL RADICULOPATHY, cervical MRI and EMG of upper limbs are necessary. SSEP abnormalities in the presence of moderate and severe MRI changes such as myelopathy, are more valuable. Therefore, SSEP in CERVICAL RADICULOPATHY is recommended before surgery.

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APA: Copy

CHITSAZ, A., MOOSAVI, S.A., & LALBAKHSH, K.. (2006). COMPARATIVE ASSESSMENT OF DIAGNOSTIC VALUE OF ELECTRODIAGNOSTIC METHODS AND RADIOLOGIC EVALUATIONS IN PATIENTS WITH CLINICAL SIGNS OF CERVICAL RADICULOPATHY. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 16(54), 14-20. SID. https://sid.ir/paper/44847/en

Vancouver: Copy

CHITSAZ A., MOOSAVI S.A., LALBAKHSH K.. COMPARATIVE ASSESSMENT OF DIAGNOSTIC VALUE OF ELECTRODIAGNOSTIC METHODS AND RADIOLOGIC EVALUATIONS IN PATIENTS WITH CLINICAL SIGNS OF CERVICAL RADICULOPATHY. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2006;16(54):14-20. Available from: https://sid.ir/paper/44847/en

IEEE: Copy

A. CHITSAZ, S.A. MOOSAVI, and K. LALBAKHSH, “COMPARATIVE ASSESSMENT OF DIAGNOSTIC VALUE OF ELECTRODIAGNOSTIC METHODS AND RADIOLOGIC EVALUATIONS IN PATIENTS WITH CLINICAL SIGNS OF CERVICAL RADICULOPATHY,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 16, no. 54, pp. 14–20, 2006, [Online]. Available: https://sid.ir/paper/44847/en

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