scholarly journals Sensitivity and specificity of nerve palpation, monofilament testing and voluntary muscle testing in detecting peripheral nerve abnormality, using nerve conduction studies as gold standard; A study in 357 patients

2009 ◽  
Vol 80 (1) ◽  
pp. 34-50 ◽  
Author(s):  
Fatema Abbas Khambati ◽  
Vanaja Prabhakar Shetty ◽  
Sunil Dattatraya Ghate ◽  
Gospi Dolly Capadia
2021 ◽  
pp. 261-263
Author(s):  
Arup Mallik

Neurophysiology is a useful investigation to assess peripheral nerve injury. It consists of nerve conduction studies and electromyography, providing information on anatomical distribution of the lesion (pre/postganglionic, single/multiple nerves), whether the lesion is primarily demyelinating or axonal, and whether the lesion is in continuity, as well as the overall prognosis.


Author(s):  
Bashar Katirji

Neuromuscular disorders are often classified into four major categories: anterior horn cell disorders, peripheral neuropathies, neuromuscular junction disorders and myopathies. This chapter discusses the electrodiagnostic and clinical EMG findings in these various neuromuscular disorders. Peripheral neuropathies are subdivided into focal mononeuropathies, radiculopathies, plexopathies and generalized peripheral polyneuropathies. Focal peripheral nerve lesions and generalized peripheral polyneuropathies may be axonal or demyelinating, and manifest quite distinctly on nerve conduction studies. Neuromuscular junction disorders may be presynaptic, as seen with the Lambert-Eaton myasthenic syndrome, or postsynaptic, as seen with myasthenia gravis.


2019 ◽  
Vol 130 (10) ◽  
pp. e223
Author(s):  
Yoshikazu Mizoi ◽  
Shinichi Yamamoto ◽  
Chizuko Oishi ◽  
Yoji Mikami ◽  
Masahiro Sonoo

2016 ◽  
Vol 35 (6) ◽  
pp. 1367-1368
Author(s):  
Jonathan K. Smith ◽  
Matthew E. Miller ◽  
David E. Reece ◽  
Yin-Ting Chen ◽  
Mark E. Landau

Author(s):  
Bashar Katirji

In addition to nerve conduction nerve studies and needle EMG, the clinical EMG study include more specialized examinations Some of the tests, such as the F waves and H reflexes are now often used as part of the routine nerve conduction studies. Others are utilized for specific indications: Repetitive nerve stimulation and single fiber EMG are used predominantly in patients with suspected neuromuscular junction disorders such as myasthenia gravis, Lambert-Eaton myasthenic syndrome or botulism; the blink reflexes are used in patients with disorders of the facial and trigeminal nerves as well as brainstem conditions. This chapter covers the late responses, including the F waves, H reflexes and blink reflexes and their applications in the diagnosis of peripheral nerve disorders. This is a followed by a discussion of the basic concepts of slow and rapid repetitive nerve stimulation and single fiber EMG, as well as their applications in the diagnosis of neuromuscular junction disorders.


Author(s):  
Bashar Katirji

Nerve conduction studies and needle EMG represent the two essential parts of the clinical EMG study. In almost all patients, both studies need to be completed before a final conclusion is made. This chapter outlines the basic concepts of nerve conduction studies including stimulations, recordings, variables and sources of errors. This is followed by detailed discussions of basic pathophysiological changes that accompany peripheral nerve disorders. The chapter then covers the normal needle EMG findings including normal insertional activity, motor unit action potential morphology and recruitment. This is followed by details on abnormal spontaneous activity findings and changes in motor unit action potential morphology and recruitment seen on needle EMG with peripheral nerve and muscle disorders.


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