Nerve Conduction Studies and Needle Electromyography

2021 ◽  
pp. 264-273
Author(s):  
Brian A. Crum
Keyword(s):  
Nerve Conduction ◽  
Motor Nerve ◽  
Nerve Fibers ◽  
Nerve Conduction Studies ◽  
Needle Electromyography ◽  
Small Fiber ◽  
Objective Evidence ◽  
Peripheral Sensory

Nerve conduction studies (NCSs) and needle electromyography (EMG) should be considered extensions of the neurologic history and examination of the peripheral sensory and motor systems. NCSs assess large, myelinated sensory and motor nerve fibers. EMG assesses primarily type 1 muscle fibers. Because of the limitations of NCSs and EMG, small-fiber function (ie, small-fiber neuropathies) and, to an extent, type 2 muscle-fiber diseases (ie, steroid myopathy) cannot be excluded with these studies. The main goal of NCSs and EMG is to obtain objective evidence of disease within the peripheral nervous system and to assist with localization of the problem.

scholarly journals A randomized clinical trial of oral steroids for ulnar neuropathy in type 1 and type 2 leprosy reactions

2008 ◽  
Vol 66 (4) ◽  
pp. 861-867 ◽  
Author(s):  
José Antonio Garbino ◽  
Marcos da Cunha Lopes Virmond ◽  
Somei Ura ◽  
Manoel Henrique Salgado ◽  
Bernard Naafs
Keyword(s):  
Motor Nerve ◽  
Clinical Score ◽  
Ulnar Neuropathy ◽  
Control Group ◽  
Spontaneous Pain ◽  
Oral Steroids ◽  
Leprosy Patients ◽  
Higher Doses

BACKGROUND: Steroids regimens in leprosy neuropathies are still controversial in botth types of reactions. METHOD: For this trial, 21 patients with ulnar neuropathy were selected from 163 leprosy patients, 12 with type 1 reaction (T1R) and nine with type 2 (T2R). One experimental group started with prednisone 2 mg/kg/day and the control group with 1 mg/kg/day. A clinical score based on tests for spontaneous pain, nerve palpation, sensory and muscle function was used. Neurophysiological evaluation consisted on the motor nerve conduction of the ulnar nerve in three segments. Student "t" test for statistical analysis was applied on the results: before treatment, first week, first month and sixth month, between each regimen and types of reaction. CONCLUSION: In both reactions during the first month higher doses of steroids produced better results but, earlier treatment with lower dose was as effective. Short periods of steroid, 1 mg/Kg/day at the beginning and,tapering to 0,5 mg/Kg/day or less in one month turned out to be efficient in T2R.

Anatomic patterning in the expression of vestibulosympathetic reflexes

2000 ◽  
Vol 279 (1) ◽  
pp. R109-R117 ◽  
Author(s):  
I. A. Kerman ◽  
B. J. Yates ◽  
R. M. McAllen
Keyword(s):  
Relative Proportion ◽  
Vestibular Stimulation ◽  
Nerve Fibers ◽  
Spike Shape ◽  
The Face ◽  
Nerve Fascicle ◽  
The Difference ◽  
Vestibulosympathetic Reflexes

To investigate the possibility that expression of vestibulosympathetic reflexes (VSR) is related to a nerve's anatomic location rather than its target organ, we compared VSR recorded from the same type of postganglionic fiber [muscle vasoconstrictor (MVC)] located at three different rostrocaudal levels: hindlimb, forelimb, and face. Experiments were performed on chloralose-anesthetized cats, and vestibular afferents were stimulated electrically. Single MVC unit activity was extracted by spike shape analysis of few-fiber recordings, and unit discrimination was confirmed by autocorrelation. Poststimulus time histogram analysis revealed that about half of the neurons were initially inhibited by vestibular stimulation (type 1 response), whereas the other MVC fibers were initially strongly excited (type 2 response). MVC units with types 1 and 2 responses were present in the same nerve fascicle. Barosensitivity was equivalent in the two groups, but fibers showing type 1 responses fired significantly faster than those giving type 2 responses (0.29 ± 0.04 vs. 0.20 ± 0.02 Hz). Nerve fibers with type 1 responses were most common in the hindlimb (21 of 29 units) and least common in the face (2 of 11 units), the difference in relative proportion being significant ( P < 0.05, χ2 test). These results support the hypothesis that VSR are anatomically patterned.

Motor nerve conduction studies on children with spinal muscular atrophy

1996 ◽  
Vol 38 (6) ◽  
pp. 576-579 ◽  
Author(s):  
YURI MIYANOMAE ◽  
YOSHIHIRO TAKEUCHI ◽  
AKIRA NISHIMURA ◽  
SYOUJI KAWASE ◽  
KIYOSHI HIRAI ◽  
...  
Keyword(s):  
Spinal Muscular Atrophy ◽  
Nerve Conduction ◽  
Muscular Atrophy ◽  
Motor Nerve ◽  
Nerve Conduction Studies ◽  
Motor Nerve Conduction

scholarly journals Nerve Conduction Studies in Patients with Lumbosacral Radiculopathy Caused by Lumbar Intervertebral Disc Herniation

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Safa Yousif ◽  
Ammar Ahmed ◽  
Ahmed Abdelhai ◽  
Afraa Musa
Keyword(s):  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Tibial Nerve ◽  
Motor Nerve ◽  
H Reflex ◽  
Nerve Conduction Studies ◽  
Control Group ◽  
Motor Nerve Conduction ◽  
Lumbosacral Radiculopathy ◽  
F Wave

Background. Nerve conduction studies (NCS) are electrodiagnostic tests used to evaluate peripheral nerves functions and aid in the assessment of patients with neuromuscular complaints. There is contrasting evidence concerning the use of NCS in the assessment of patients with lumbosacral radiculopathy. Objectives. This study was conducted to evaluate nerve conduction studies abnormalities in patients with lumbosacral radiculopathy and to find out their relation to abnormal physical examination findings. Materials and Methods. Twenty-seven patients with lumbosacral radiculopathy caused by L4/5 or L5/S1 intervertebral disc prolapse confirmed by magnetic resonance imaging (MRI) were recruited in the study. Twenty-five healthy subjects matched in age and sex served as control. Motor nerve conduction study bilaterally for both common peroneal and tibial nerves, F-wave for both nerves, and H-reflex had been conducted. Results. No significant difference was found in the motor nerve conduction study parameters (latency, amplitude, and conduction velocity) between the patients group and the control group. There was significant prolongation in H-reflex latency of both symptomatic and asymptomatic side in the patients group compared to the control group ( P < 0.05 ). Also, F-wave latencies (F minimum, F maximum, and F mean) of the tibial nerve were significantly prolonged ( P < 0.05 ) compared to control. Conclusion. Prolonged H-reflex latency was the commonest encountered abnormality in our study followed by F-wave latencies of the tibial nerve.

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