Normative Observational Nerve Ultrasound Values in School-Age Children and Adolescents and Their Application to Hereditary Neuropathies

Bibliographic Details
Title: Normative Observational Nerve Ultrasound Values in School-Age Children and Adolescents and Their Application to Hereditary Neuropathies
Authors: Anna-Sophie Grimm, Charlotte Schubert, Alexander Grimm, Jan-Hendrik Stahl, Hanna Küpper, Veronka Horber, Josua Kegele, Sophia Willikens, Julia Wittlinger, Lina Serna-Higuita, Natalie Winter, Samuel Groeschel
Source: Frontiers in Neurology, Vol 11 (2020)
Publisher Information: Frontiers Media S.A., 2020.
Publication Year: 2020
Collection: LCC:Neurology. Diseases of the nervous system
Subject Terms: nerve ultrasound, children neuropathy, reference values, lysosomal storage diseases, nerve imaging, Neurology. Diseases of the nervous system, RC346-429
More Details: Backgrounds: We have aimed to establish nerve ultrasound reference data in 8 to 17-year-old children and adolescents and to compare those data to younger children, adults, and age-matched children with polyneuropathies.Methods: High-resolution ultrasounds of the nerves were performed in 117 healthy children and adolescents at 20 predefined landmarks in the neck and the extremities of both sides. Mean values, side-to-side differences and intraneural ratios, as well as upper limits have been calculated. In a second step, a comparison between 25 children and adolescents of the same age range with proven hereditary and acquired neuropathies and lysosomal storage diseases has been carried out.Results: Nerve growth correlates significantly with age and reaches adult values at the age of around 15 years. The influence of body mass index and gender is negligible at most segments. By the use of age-specific upper limits, nerve enlargement could be seen in distinct types of neuropathies, particularly in demyelinating hereditary and inflammatory types, which is comparable to findings in adults, but also in rare lysosomal storage diseases.Conclusion: Nerve size correlates with age during childhood and reaches a climax in younger adults. Age-matched reference data are inevitable to differ between hypertrophic and non-hypertrophic nerve damage, e.g., in neuropathies.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1664-2295
Relation: https://www.frontiersin.org/article/10.3389/fneur.2020.00303/full; https://doaj.org/toc/1664-2295
DOI: 10.3389/fneur.2020.00303
Access URL: https://doaj.org/article/4520057ad8c04a0ba36b3c8de04b8fd0
Accession Number: edsdoj.4520057ad8c04a0ba36b3c8de04b8fd0
Database: Directory of Open Access Journals
More Details
ISSN:16642295
DOI:10.3389/fneur.2020.00303
Published in:Frontiers in Neurology
Language:English