Diagnosis of Lumbosacral Radiculopathy: MRI vs NCS | Chapter 8 | Current Progress in Medicine and Medical Research Vol. 5

 This branch evaluate the potential of soleus H-mechanical for diagnosis of radiculopathies along with allure comparison accompanying imaging (MRI) and clinical test.  Since Mixter & Barr initially illustrated lumbrosacral radiculopathy in 1934, it has become one of the most prevailing causes of low back pain. In the current study, we determined and contrasted the profit of MRI of the lumbosacral spine and Soleus H-Reflex study for the diagnosis of lumbosacral radiculopathy.An practical cross-sectional study was acted on 20 patients (11 females & 9 men) clinically diagnosed as lumbosacral radiculopathy at orthopaedic OPD of R. G. Kar Medical College, Kolkata. Soleus H-Reflex study was acted first and then they had undergone MRI of L-S backbone. All collected dossier were analyzed by SPSS programme. There may be noncompressive causes of radiculopathy that include blood deficiency, trauma, neoplastic combination, spinal infections, postradiation harm, immune-arbitrated diseases; these present with electrodiagnostic patterns alike from nerve root compression.55% victims showed radiculopathy in their MRI while H-Reflex was abnormal in 80% victims. Out of these 80%, 40% showed concerned with one side absence, 35% mutual absence and 5% decreased H size. There was significant equivalence between MRI and H-reflex study accompanying a p value of 0.013. According to kappa cooperative assessment there was moderate substance of agreement 'tween these two tests (Kappa-0.468). An interesting finding was that 5 sufferers out of 9 the one had normal MRI; had odd H-Reflex result (55.56%). The study can be concluded that H-mechanical is an efficient demonstrative tool for lumbosacral radiculopathy as evidenced by 80% bizarre result, whereas MRI displayed 55% positive results.It is a useful demonstrative tool because individuals accompanying L-S Radiculopathy exhibit an aberrant H-Reflex in 80% of cases. More than 55% of patients accompanying clinically diagnosed radiculopathy the one also have normal MRIs leave abundance of potential for further investigation into either functional change can happen former than structural oddities seen on MRI.

Author(s) Details:

Sandip Kumar Parui,

Department of Physiology, R. G. Kar Medical College, Kolkata, West Bengal, India.

Please see the link here: https://stm.bookpi.org/CPMMR-V5/article/view/11388