AANEM Connect
Join this vibrant community of professionals eager to exchange ideas, share resources, and engage in meaningful discussions. Use this platform as a sounding board to seek advice for navigating challenging cases or career decisions, and receive expert guidance from generous peers who want to help you succeed.
2 CTS questions: 1."purely motor only CTS?" 2. remyelination/axonal regrowth after CTS
We had a patient with prior CTS surgery (about 8 years prior) who had delayed distal latency (6.8ms) on the median motor with low amplitude of 1mV. The proximal CMAP was low amplitude and the CV was slow. The median sensory digit II was 3.3ms at a distance of 14cm with an amplitude of 12uV. Pt also has a C8 radiculopathy on EMG.
1. Was I dreaming or have I heard of a "purely motor only" CTS at an AANEM meeting. Is that a real thing?
2. Does the median motor and median sensory recover, after CTS surgery, at different rates for remyelination and axonal regrowth? As in the situation above, could the sensory segment have remyelinated and recovered (even with shortened internodal distances) quicker than the motor component? Could that contribute to the sensory being normal and the median motor abnormal?
Thanks to all you smart doctors in advance!
Carrie REPT, RNCST, CNCT
In order to comment on posts and view posts in their entirety, please login with your AANEM member account information.
I enjoy participating in the AANEM Connect Forum for a number of reasons. There are very fundamental questions posed on a frequent basis that cause me to pause and ask myself, ‘Why didn’t I think of that?’ Also, I continue to learn new things when others contribute their thoughts and experiences. Connect is an excellent opportunity for members to interact and to address any topic, including those that may not be discussed at an annual meeting or journal article.
Daniel Dumitru, MD, PhD