Table 2.
Nerves examined with NCS and frequency of fulfillment of the electrodiagnostic demyelination criteria.
Nerve | Of 203 patients | % | % positive | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Any criterion | I‐A | I‐B | I‐C | I‐D | I‐E | I‐F | I‐G | II | |||
Median | 183 | 90.1 | 39.5 | n.a. | 13.0 | 7.7 | 4.8 | 7.7 | 4.3 | 20.2 | 6.3 |
Ulnar | 115 | 56.7 | 38.5 | 11.8 | 10.3 | 6.6 | 4.4 | 8.1 | 3.7 | 19.9 | 5.9 |
Tibial | 199 | 98.0 | 51.7 | 16.4 | 7.4 | 1.5 | 8.0 | 13.9 | 31.8 | 10.9 | n.a. |
Peroneal | 27 | 13.3 | 34.1 | 11.8 | 5.9 | 0.0 | 11.8 | 5.9 | 8.8 | 8.8 | 2.9 |
Criteria as defined by EFNS/PNS 5 : I‐A: Motor distal latency prolongation ≥50% above ULN. I‐B: Reduction of motor conduction velocity ≥30% below LLN. I‐C: Prolongation of F‐wave latency ≥30% above ULN (≥50% if amplitude of distal negative peak CMAP <80% of LLN values). I‐D: Absence of F‐waves if the nerve has a distal negative peak CMAP amplitudes ≥20% of LLN. I‐E: Partial motor conduction block: ≥50% amplitude reduction of the proximal negative peak CMAP relative to distal, if distal negative peak CMAP ≥20% of LLN. I‐F: Abnormal temporal dispersion (>30% duration increase between the proximal and distal negative peak CMAP). I‐G: Distal CMAP duration (interval between onset of the first negative peak and return to baseline of the last negative peak) increase (median ≥6.6 msec, ulnar ≥6.7 msec, peroneal ≥7.6 msec, and tibial ≥8.8 msec). II: ≥30% amplitude reduction of the proximal negative peak CMAP relative to distal, excluding the posterior tibial nerve, if distal negative peak CMAP ≥20% of LLN.
NCS, nerve conduction studies; ULN, upper limit of normal; LLN, lower limit of normal; CMAP, compound muscle action potential.