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Variations in Motor Nerve Conduction Velocity in Normal and Uremic Patients
Namiko Kominami, MD;
H. Richard Tyler, MD;
Constantine L. Hampers, MD;
John P. Merrill, MD
Arch Intern Med. 1971;128(2):235-239.
Abstract
Ulnar nerve conduction velocity (NCV) was measured daily using surface electrodes and achieving reproducibility within 2 meters/sec in each patient on a given day. Five normal subjects had a mean NCV of 56.9 meters/sec ±4.0 (SD). The NCV varied daily during a ten-day period and the percent difference between the slowest and most rapid measurements of NCV averaged 17.8% (range 24.6% to 12.4%). Seven uremic patients had a mean NCV of 49.6 meters/sec ± 7.0. The average percent difference in NCV was 16.6% (range 24.9% to 8.4%). The NCV variation was unrelated to other chemical and clinical features, including the electroencephalogram in two patients. It is concluded that because of variation, the NCV is an unreliable tool for following uremic patients unless the changes are marked. It is necessary to determine the degree of daily variation in NCV from one period to another.
Author Affiliations
Boston
From the departments of medicine (Drs. Kominami, Hampers, and Merrill) and neurology (Dr. Tyler), Peter Bent Brigham Hospital, and Harvard Medical School, Boston. Dr. Kominami is now with the Straub Clinic, Honolulu.
Footnotes
Received for publication Aug 28, 1970; accepted Oct 12.
Reprint requests to Dialysis Facilities, Peter Bent Brigham Hospital, 721 Huntington Ave, Boston 02115 (Dr. Hampers).
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