Ann Rehabil Med.  2023 Aug;47(4):231-233. 10.5535/arm.23099.

Diabetic Distal Symmetric Sensorimotor Polyneuropathy: A Proposal of New Electrodiagnostic Evaluation

• Lee HJ
• Kim DH
• Kim KH

• KMID: 2545319
• DOI: http://doi.org/10.5535/arm.23099

Figure

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  Fig. 1. Flowchart for electrophysiologic approach of diabetic distal symmetric sensorimotor polyneuropathy (DSPN). Data from the article of Consensus statement [2], Tankisi et al. [5], and Baba et al. [7].

Reference

1. Pop-Busui R, Boulton AJ, Feldman EL, Bril V, Freeman R, Malik RA, et al. Diabetic neuropathy: a position statement by the American Diabetes Association. Diabetes Care. 2017; 40:136–54.

2. Report and recommendations of the San Antonio conference on diabetic neuropathy. Consensus statement. Diabetes. 1988; 37:1000–4.

3. England JD, Gronseth GS, Franklin G, Miller RG, Asbury AK, Carter GT, et al. Distal symmetrical polyneuropathy: definition for clinical research. Muscle Nerve. 2005; 31:113–23.

4. Perkins BA, Ngo M, Bril V. Symmetry of nerve conduction studies in different stages of diabetic polyneuropathy. Muscle Nerve. 2002; 25:212–7.

5. Tankisi H, Pugdahl K, Beniczky S, Andersen H, Fuglsang-Frederiksen A. Evidence-based recommendations for examination and diagnostic strategies of polyneuropathy electrodiagnosis. Clin Neurophysiol Pract. 2019; 4:214–22.

6. Andersen H, Stålberg E, Falck B. F-wave latency, the most sensitive nerve conduction parameter in patients with diabetes mellitus. Muscle Nerve. 1997; 20:1296–302.

7. Baba M, Suzuki C, Ogawa Y. Severity grading system of diabetic neuropathy in type-2 diabetes by nerve conduction study: five-year prospective study on occurrence of diabetic foot, macroangiopathic events, and eventual death. JPN J Clin Neurophysiol. 2018; 46:71–7.

8. Tankisi H, Pugdahl K, Beniczky S, Andersen H, Fuglsang-Frederiksen A. The role of electrodiagnostic testing in patients referred with the suspicion of polyneuropathy. Muscle Nerve. 2020; 62:E66–7.