Summary of Findings:
- 1.
Left median motor study to APB has markedly prolonged distal onset latency, normal compound muscle action potential (CMAP) , and normal conduction velocity in the forearm.
- 2.
Left ulnar motor to ADM has normal distal onset latency, CMAP, and normal conduction velocity in the forearm.
- 3.
Left median sensory to the thumb and ring finger is absent.
- 4.
Left radial sensory to the thumb and ulnar sensory to the ring finger have normal peak latency and sensory nerve action potential (SNAP) .
- 5.
Left transpalmer study with markedly prolonged median peak latency, normal ulnar peak latency, and SNAPs.
- 6.
Left combined sensory index (CSI) study is abnormal at 2.5 ms (CSI is defined as median minus radial latency to thumb + median minus ulnar latency to ring + median minus ulnar latency across the palm. Normal CSI at the Carpal Tunnel is <1.0 ms).
Example 1—electrodiagnostic evidence of left motor and sensory demyelinating median mononeuropathy at the wrist
Example 2: Brachial Plexus Injury