Differences in nerve excitability properties across upper limb sensory and motor axons. 2022

Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective University of Sydney and Department of Neurology, Royal Prince Alfred Hospital, Sydney, Australia; Westmead Hospital, University of Sydney, Sydney, Australia; MRC Centre for Neuromuscular Disease, UCL Queen Square Institute of Neurology, London, UK. Electronic address: antonia.carroll@sydney.edu.au.

The excitability of motor and sensory axons of the main upper limb nerves were compared to characterise the differences between nerves and provide a guide for future studies in human diseases with median neuropathy at the wrist. Axonal excitability studies were undertaken on median and ulnar motor (APB and ADM) and sensory axons (D2 and D5) and the superficial radial axons (D1) using a threshold tracking technique. Compared to the median, ulnar motor axons had reduced early depolarising threshold electrotonus (TEd40(10-20 ms) p = 0.02) and superexcitability (p = 0.03). The ulnar sensory axons required a stronger stimulus (p = 0.02) and had a larger rheobase (p = 0.02) than median axons, but were otherwise comparable. The superficial radial axons were "fanned-in" compared to median, and to a lesser degree ulnar axons, with greater resting I/V slope. Mathematical modelling of the radial and median sensory axons suggested that a 15.1% reduction in conductances between nodal and internodal compartments accounted for 82% of this discrepancy. The excitability parameters of motor and sensory axons are most comparable between median and ulnar nerves. The present study demonstrates the feasibility of, and provides normative data for, axonal excitability recordings of the radial and ulnar nerves. We suggest the use of ulnar recordings as an alternative to the median nerve in the setting of compressive neuropathy at the wrist.

UI MeSH Term Description Entries
D008475 Median Nerve A major nerve of the upper extremity. In humans, the fibers of the median nerve originate in the lower cervical and upper thoracic spinal cord (usually C6 to T1), travel via the brachial plexus, and supply sensory and motor innervation to parts of the forearm and hand. Median Nerves,Nerve, Median,Nerves, Median
D009431 Neural Conduction The propagation of the NERVE IMPULSE along the nerve away from the site of an excitation stimulus. Nerve Conduction,Conduction, Nerve,Conduction, Neural,Conductions, Nerve,Conductions, Neural,Nerve Conductions,Neural Conductions
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000200 Action Potentials Abrupt changes in the membrane potential that sweep along the CELL MEMBRANE of excitable cells in response to excitation stimuli. Spike Potentials,Nerve Impulses,Action Potential,Impulse, Nerve,Impulses, Nerve,Nerve Impulse,Potential, Action,Potential, Spike,Potentials, Action,Potentials, Spike,Spike Potential
D001369 Axons Nerve fibers that are capable of rapidly conducting impulses away from the neuron cell body. Axon
D014459 Ulnar Nerve A major nerve of the upper extremity. In humans, the fibers of the ulnar nerve originate in the lower cervical and upper thoracic spinal cord (usually C7 to T1), travel via the medial cord of the brachial plexus, and supply sensory and motor innervation to parts of the hand and forearm. Nerve, Ulnar,Nerves, Ulnar,Ulnar Nerves
D014953 Wrist The region of the upper limb between the metacarpus and the FOREARM. Wrists

Related Publications

Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
June 2023, Journal of neurophysiology,
Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
August 1996, Brain : a journal of neurology,
Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
May 2004, Muscle & nerve,
Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
February 2005, Muscle & nerve,
Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
March 2009, Muscle & nerve,
Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
January 1999, Rinsho shinkeigaku = Clinical neurology,
Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
January 2004, Electromyography and clinical neurophysiology,
Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
November 2020, Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology,
Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
December 2001, Muscle & nerve,
Antonia S Carroll, and James Howells, and Cindy S Y Lin, and Susanna B Park, and Neil Simon, and Mary M Reilly, and Steve Vucic, and Matthew C Kiernan
July 2012, Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology,
Copied contents to your clipboard!