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. 2010 Apr;1(2):69–88. doi: 10.1177/2042018810370954

Table 1.

Advantages and disadvantages for different tests of neuropathy.

Method Advantage Disadvantage
Clinical/neurological examination Simple, easy to use Not sensitive or reproducible
Electrophysiology Sensitive, objective Assesses only large fibres
Requires special equipment
Quantitative sensory tests (QST) Evaluates both large and small nerve fibres Subjective, low reproducibility, requires special equipment
Sympathetic skin response (SSR) Simple, fast, objective Semi quantitative, low sensitivity
Quantitative sudomotor axon reflex test (QSART) Sensitive, objective, reproducible Requires special equipment, time-consuming
Autonomic testing Objective, quantitative Moderate sensitivity, requires special equipment
Nerve/skin biopsy Quantitative, sensitive Invasive, problems with wound healing, specialist histological technique to quantify intraepidermal nerve fibre.
Corneal confocal microscopy/Corneal aesthesiometry Rapid, noninvasive, reiterative and quantitative Requires special equipment and expertise