Abstract
Thenar motor unit counts were done in 19 subjects with symptoms characteristic of the carpal tunnel syndrome. Three-quarters of the patients had motor unit count estimates less than 2 SD lower limit of controls. Despite this, most did not have thenar wasting or weakness. Functional compensation by motor unit remodelling probably kept pace with motor axon loss and masked the true extent of axonal degeneration.
Full text
PDF




Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brown W. F. A method for estimating the number of motor units in thenar muscles and the changes in motor unit count with ageing. J Neurol Neurosurg Psychiatry. 1972 Dec;35(6):845–852. doi: 10.1136/jnnp.35.6.845. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Buchthal F., Rosenfalck A. Sensory conduction from digit to palm and from palm to wrist in the carpal tunnel syndrome. J Neurol Neurosurg Psychiatry. 1971 Jun;34(3):243–252. doi: 10.1136/jnnp.34.3.243. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fullerton P. M., Gilliatt R. W. Median and ulnar neuropathy in the guinea-pig. J Neurol Neurosurg Psychiatry. 1967 Oct;30(5):393–402. doi: 10.1136/jnnp.30.5.393. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McComas A. J., Sica R. E., Campbell M. J., Upton A. R. Functional compensation in partially denervated muscles. J Neurol Neurosurg Psychiatry. 1971 Aug;34(4):453–460. doi: 10.1136/jnnp.34.4.453. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SIMPSON J. A. Electrical signs in the diagnosis of carpal tunnel and related syndromes. J Neurol Neurosurg Psychiatry. 1956 Nov;19(4):275–280. doi: 10.1136/jnnp.19.4.275. [DOI] [PMC free article] [PubMed] [Google Scholar]
- THOMAS P. K., FULLERTON P. M. NERVE FIBRE SIZE IN THE CARPAL TUNNEL SYNDROME. J Neurol Neurosurg Psychiatry. 1963 Dec;26:520–527. doi: 10.1136/jnnp.26.6.520. [DOI] [PMC free article] [PubMed] [Google Scholar]
- THOMAS P. K. Motor nerve conduction in the carpal tunnel syndrome. Neurology. 1960 Dec;10:1045–1050. doi: 10.1212/wnl.10.12.1045. [DOI] [PubMed] [Google Scholar]
- Thomas J. E., Lambert E. H., Cseuz K. A. Electrodiagnostic aspects of the carpal tunnel syndrome. Arch Neurol. 1967 Jun;16(6):635–641. doi: 10.1001/archneur.1967.00470240073010. [DOI] [PubMed] [Google Scholar]