CD Skripsi
Gambaran Hasil Studi Konduksi Saraf Pada Pasien Carpal Tunnel Syndrome Di Provinsi Riau Periode 2023 - 2025
Carpal Tunnel Syndrome (CTS) is a common median nerve compression neuropathy. Nerve conduction studies (NCS) are the objective diagnostic standard for assessing nerve function. To date, no data has described the NCS findings in CTS patients in Riau Province. This study aimed to describe the nerve conduction study findings in Carpal Tunnel Syndrome patients in Riau Province for the 2023— 2025 period. This study used a descriptive method with a cross-sectional approach. Data was collected retrospectively from secondary data of 105 CTS patient examination samples that met the inclusion criteria, using a total sampling technique at Arifin Achmad Regional Hospital and Awal Bros Panam Hospital. Data analyzed included patient characteristics, severity grade, and NCS parameters (motor, sensory, F-wave). The results showed the sample was dominated by females (81.9%), the 40—60 years age group (68.6%), and bilateral involvement (61%). The most frequent severity grades (Bland classification) were grade 2 (29.5%), grade 3 (24.8%), and grade 5 (20.0%). Sensory NCS abnormalities were more dominant, characterized by decreased NCV (71.4%), decreased amplitude (68.6%), and prolonged distal latency (66.7%). Motor NCS showed prolonged distal latency (61.9%) and decreased amplitude (45.7%). The majority ofF-waves were within normal limits (81.9%). The conclusion of this study is that the NCS profile of CTS patients in Riau Province is dominated by middle- aged women. The main neurophysiological finding is more severe sensory fiber disturbance, indicating focal demyelination and secondary axonal loss.
Keywords: Carpal Tunnel Syndrome, Nerve Conduction Study, Median Nerve, Demyelination, Axonal Loss
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