SavedAdd your journal

Journals / Medical Records / 2026 / Cilt: 5 Sayı: 2

Nerve Conduction Studies and Measurement of Median Nerve Cross-Sectional Area in Patients Newly Diagnosed with Hypothyroidism

Aydın Talip Yıldoğan(Dr. Ersin Arslan Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Gaziantep)0000-0002-9482-6203
Gözde Öngün(Muş State Hospital)0000-0002-3202-2410
Fettah Eren(SELCUK UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-6834-0827
Hasan Kara(Karaman Training and Research Hospital)0000-0003-1525-1104
Abdullah Erdem Akkulak(Harakani State Hospital)0000-0001-8604-1329
Cem Onur Kıraç(Necip Fazıl City Hospital)0000-0002-0249-9867
Süleyman Baldane(SELCUK UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-7001-4075
İlknur Albayrak(SELCUK UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-8980-1837
Recep Aygül(SELCUK UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-3603-2480
Pages
367–71
Publication Date
2023-05-15
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There was no significant correlation between nerve conductions and median nerve ultrasonographic cross-sectional areas.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This study aimed to investigate the rate of carpal tunnel syndrome (CTS) and polyneuropathy in patients with new-diagnosed hypothyroidism and the relationship between median nerve conduction and the cross-sectional area of the median nerve by ultrasonography.
📊
Key Findings & Data:Results: CTS was determined electrophysiologically in 8 (22.9%) patients.
💡
Conclusion & Impact:There was no significant correlation between nerve conductions and median nerve ultrasonographic cross-sectional areas.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Nerve conduction · hypothyroidism · neuropathy

Abstract

Aim: This study aimed to investigate the rate of carpal tunnel syndrome (CTS) and polyneuropathy in patients with new-diagnosed hypothyroidism and the relationship between median nerve conduction and the cross-sectional area of the median nerve by ultrasonography. Material and Methods: It was a prospective, cross-sectional and case-control study. This study included thirty-five new-diagnosed hypothyroidism cases and thirty-five healthy controls. Bilateral sensory and motor nerve potentials were noted in the lower and upper extremities. The cross-sectional area of the median nerve was examined at the entrance of the CT with the axial plan by ultrasonography. The relationship between the cross-sectional areas of the median nerve and nerve conduction parameters was investigated. Results: CTS was determined electrophysiologically in 8 (22.9%) patients. The control group had no CTS. There was no significant electrophysiological finding to support polyneuropathy in the patients. The cross-sectional areas of the median nerve were higher in the patient group but did not reach statistically significant (p>0.05). There was a positive correlation between the right and left cross-sectional area of median nerves and body mass index (BMI) (p<0.05). Conclusion: The rate of CTS is high in patients with newly diagnosed hypothyroidism. There is a positive correlation between cross-sectional nerve areas and BMI. There was no significant correlation between nerve conductions and median nerve ultrasonographic cross-sectional areas.

🔖

Cite This Article

Yıldoğan, A. T., Öngün, G., Eren, F., Kara, H., Akkulak, A. E., Kıraç, C. O., Baldane, S., Albayrak, İ., Aygül, R. (2023). Nerve Conduction Studies and Measurement of Median Nerve Cross-Sectional Area in Patients Newly Diagnosed with Hypothyroidism. Medical Records, Cilt: 5 Sayı: 2, 367–71. https://doi.org/10.37990/medr.1167201

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Gupta, N., Arora, M., Sharma, R., & Arora, K. S. (2016). Peripheral and central nervous system involvement in recently diagnosed cases of hypothyroidism: an electrophysiological study. Ann Med Res, 2016; 6: 261-266.
  2. Holováčová D, Kužma M, Killinger Z, Payer. Cross-sectional area of the median nerve is increased in primary autoimmune hypothyroidism and decreases upon treatment with thyroxine. Eur J Endocrinol 2016; 175: 265-71.
  3. Muscle AAoEMJ, Nerve. Guidelines in electrodiagnostic medicine. 1992;15: 229-253.
  4. Stevens JCJM, Medicine NOJotAAoE. AAEM minimonography 26: the electrodiagnosis of carpal tunnel syndrome. 1997;20(12):1477-1486.
  5. Aygül R, Ulvi H, Karatay S, Deniz O, Varoglu AO. Determination of sensitive electrophysiologic parameters at follow-up of different steroid treatments of carpal tunnel syndrome. J ClinNeurophysiol 2005;22: 222-230.
  6. Tankisi H, Pugdahl K, Fuglsang-Frederiksen A, et al. Pathophysiology inferred from electrodiagnostic nerve tests and classification of polyneuropathies, Suggested guidelines. ClinNeurophysiol 2005; 116: 1571-80.
  7. Wong S, Griffith J, Hui A, Tang A, Wong KJA. Discriminatory sonographic criteria for the diagnosis of carpal tunnel syndrome. Arthritis Rheumatol 2002; 46: 1914-21.
  8. Gupta N, Arora M, Sharma R, Arora. Peripheral and central nervous system involvement in recently diagnosed cases of hypothyroidism: an electrophysiological study. Ann med health sci res 2016; 6: 261-6.
  9. Duyff RF, Van den Bosch J, Laman DM, van Loon B-JP, Linssen WH. Neuromuscular findings in thyroid dysfunction: a prospective clinical and electrodiagnostic study. J. Neurol. Neurosurg. Psychiatry 2000; 68: 750-5.
  10. Kececi H, Degirmenci Y. Hormone replacement therapy in hypothyroidism and nerve conduction study. ClinNeurophysiol2006; 36: 79-83.
  11. Asia A, Warkar AJIJoB, Research AM. Nerve conduction studies in recently diagnosed untreated hypothyroid patients. IJBAMR 2015; 4: 330-4.
  12. Hamdy M, Hafez AE, Khalil A, Mohamed FA. Diagnostic role of neuromuscular ultrasound in cubital tunnel syndrome.Int J ClinRheumtol. 2020; 14: 288.
  13. Beghi E, Delodovici ML, Bogliun G, et al. Hypothyroidism and polyneuropathy. J. Neurol Neurosurg Psychiatry 1989; 52: 1420-3.
  14. Garg, R., Bansal, N., Singh, N., Maria, A. K., Arora, K. S. Nerve conduction studies in newly diagnosed cases of hypothyroidism. SchAcad J Biosci 2015; 3: 479-88.
  15. Yüksel G, Karlıkaya G, Tanridağ T, Önder U, Akyüz G. Nerve conduction studies, SEP and blink reflex studies in recently diagnosed, untreated thyroid disease patients. J Neurol Sci 2007; 24: 7-15.
  16. Akarsu EO, Acar H, Ozer F, et al. Electromyographic findings in overt hypothyroidism and subclinical hypothyroidism. Turk Noroloji Derg 2013; 19: 128-33.
  17. Gupta, N., Arora, M., Sharma, R., & Arora, K. S. (2016). Peripheral and central nervous system involvement in recently diagnosed cases of hypothyroidism: an electrophysiological study. Ann Med Res, 2016; 6: 261-266.