{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T08:17:24Z","timestamp":1789373844072,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2003,9,30]],"date-time":"2003-09-30T00:00:00Z","timestamp":1064880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2003,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Noxious digital nerve stimulation during isometric contraction of hand muscles leads to transient suppression of the electromyographic activity, the so\u2010called cutaneous silent period (CSP), which is mostly due to a spinal reflex mediated by A\u2010\u03b4 fibers. We investigated two patients with carpal tunnel syndrome (CTS) and two patients with ulnar entrapment at the elbow (UNE), in whom routine sensory conduction studies failed to document afferent fiber continuity across the lesion site. In three patients, motor nerve conduction studies and electromyography failed to demonstrate intact efferent fibers. Noxious stimulation of digit II elicited distinct CSPs in ulnar\u2010innervated hand muscles in both patients with CTS, and stimulation of digit V evoked CSPs in median\u2010innervated hand muscles in both UNE patients. The presence of a CSP can only be explained by preserved A\u2010\u03b4 fibers crossing the respective lesion site. Thus, preserved CSPs may serve to document residual nerve continuity in severe entrapment neuropathies when fast\u2010conducting fibers are so compromised that their continuity cannot be detected by standard electrodiagnostic techniques. Muscle Nerve 28: 711\u2013714, 2003<\/jats:p>","DOI":"10.1002\/mus.10595","type":"journal-article","created":{"date-parts":[[2003,11,20]],"date-time":"2003-11-20T18:19:45Z","timestamp":1069352385000},"page":"711-714","source":"Crossref","is-referenced-by-count":28,"title":["Preserved cutaneous silent periods in severe entrapment neuropathies"],"prefix":"10.1002","volume":"28","author":[{"given":"Markus","family":"Kofler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Fr\u00f6hlich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leopold","family":"Saltuari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2003,11,19]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4598(199809)21:9<1213::AID-MUS16>3.0.CO;2-S"},{"key":"e_1_2_7_3_2","first-page":"123","volume-title":"Entrapment neuropathies","author":"Dawson DM","year":"1999"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.26.5.385"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0013-4694(94)90132-5"},{"key":"e_1_2_7_6_2","first-page":"719","volume-title":"Electrodiagnosis in diseases of nerve and muscle: principles and practice","author":"Kimura J","year":"2001"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-2457(03)00060-9"},{"key":"e_1_2_7_8_2","first-page":"S17","article-title":"Cutaneous silent periods in intramedullary spinal cord lesions","volume":"112","author":"Kofler M","year":"2001","journal-title":"Clin Neurophysiol"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0168-5597(94)90152-X"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880151209"},{"key":"e_1_2_7_11_2","first-page":"1076","article-title":"The cutaneous silent period in cervical radiculopathy","volume":"20","author":"Leis AA","year":"1997","journal-title":"Muscle Nerve"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.55.9.1305"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4598(199904)22:4<467::AID-MUS7>3.0.CO;2-Y"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-2457(01)00675-7"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880160306"},{"key":"e_1_2_7_16_2","first-page":"45","volume-title":"Focal peripheral neuropathies","author":"Stewart JD","year":"2000"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4598(200008)23:8<1179::AID-MUS4>3.0.CO;2-7"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-2457(00)00486-7"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0168-5597(91)90023-Q"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(89)90008-7"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-2457(02)00169-4"},{"key":"e_1_2_7_22_2","first-page":"425","volume-title":"Evoked potentials in clinical medicine","author":"Yiannikas C","year":"1997"}],"container-title":["Muscle &amp; Nerve"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmus.10595","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mus.10595","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T20:11:30Z","timestamp":1700251890000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mus.10595"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,11,19]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2003,12]]}},"alternative-id":["10.1002\/mus.10595"],"URL":"https:\/\/doi.org\/10.1002\/mus.10595","archive":["Portico"],"relation":{},"ISSN":["0148-639X","1097-4598"],"issn-type":[{"value":"0148-639X","type":"print"},{"value":"1097-4598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,11,19]]}}}