Clinical, neurophysiological and sonographic characteristics of the carpal tunnel syndrome isolated and against the background of polyneuropathy
Inarticletheclinical, neurophysiological and sonographic characteristics of 36 patients with existence of the clinical signs of a carpal tunnel syndrome a divided into two groups is given. 18 patients from a carpal tunnel syndrome with polyneuropathy of various etiology with average age of 55.1±5.79 years and the second group of 18 patients average age of 52.7±11.34 years with the isolated carpal tunnel syndrome entered into the first group. To patients clinical trial, a nerveconduction studies and sonography (66 wrists - 34 in 1 groupand 32 inthe 2nd group) joints and adjacents of ttissuesandperipheralnervesfordeterminationoftheareaof a mediannervewasconducted. Result soft hecarried outstatistical, includingcorrelationanalysisofclinicalandneurophysiologicalandsonographicindicatorsaredescribedthatallowedtodrawconclusionsonfeaturesof a carpaltunnelsyndromeatdevelopmentitatpatientswithpolyneuropathyintheformof a tendencytoformationof a bilateralcarpaltunnelsyndromewithswellingof a trunkof a mediannerve, as a rule without the accompanying damages of joints and other adjacent soft issues. And also more expressed defeat of terminal departments of axons of motorfibers, development of anaxonal degeneration as motorand sensor fibers, and demyeli nation of sensor fiber swith accuratecorrelati on dependence on the area of a median nerve.