Diagnostic nerve ultrasound in Charcot-Marie-Tooth disease type 1B.
Ultrasound is emerging as a useful tool for evaluation of neuromuscular conditions, because it can provide high-resolution anatomic information to complement electrodiagnostic data. There have been few studies in which ultrasound was used to assess the peripheral nerves of individuals with Charcot-Marie-Tooth (CMT) disease and none involving CMT type 1B. In this study we compared nerve cross-sectional area in individuals from a single large family with CMT 1B with normal, healthy controls. We also assessed for cranial nerve enlargement in those with CMT 1B with cranial neuropathies compared to those with CMT 1B without cranial neuropathies. Individuals with CMT 1B have significantly larger median and vagus nerves than healthy controls, but no difference was seen in cranial nerve size between those with versus those without cranial neuropathies. This is the first study to characterize the ultrasonographic findings in the peripheral nerves of individuals with CMT 1B.
Cartwright
Michael S
MS
Department of Neurology, Wake Forest University School of Medicine, Medical Center Boulevard, Meads Hall, Winston-Salem, North Carolina 27157, USA. mcartwri@wfubmc.edu
Brown
Martin E
ME
Eulitt
Patrick
P
Walker
Francis O
FO
Lawson
Victoria H
VH
Caress
James B
JB
D002607:Charcot-Marie-Tooth Disease / Q000000981:diagnostic imaging* / Q000235:genetics / Q000473:pathology* / Q000503:physiopathology; D003391:Cranial Nerves / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology; D005192:Family Health; D006801:Humans; D018993:Myelin P0 Protein / Q000235:genetics; D014463:Ultrasonography / Q000379:methods
D018993:Myelin P0 Protein