By Mark B. Bromberg, A. Gordon Smith
Supplying an in depth learn of the anatomy, body structure, and pathology of peripheral nerves, this reference offers a transparent method of the review, characterization, and remedy of peripheral neuropathies-reviewing each one significant type of those issues with authoritative discussions of scientific features, electrodiagnostic gains, exam findings, and healing procedures and results.
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Ann Neurol 1981; 10:222 –226. 5432-8-Bromberg-ch02_R2_270505 Laboratory Evaluation of Peripheral Neuropathy 5432-8-Bromberg-ch02_R2_270505 5432-8-Bromberg-ch02_R2_270505 2 Electrodiagnostic Evaluation Mark B. Bromberg University of Utah, Salt Lake City, Utah, USA Abstract 1. Introduction 2. Approach to the Electrodiagnostic Examination 3. Technical Issues 4. 1. 2. 3. 4. Needle EMG Sampling 5. 1. 2. 3. 4. 5. 6. Electrodiagnostic Criteria 6. 1. 2. 3. Chronicity 7. Approach to the Electrodiagnostic Evaluation, Continued 8.
Criteria are based on changes in CMAP amplitude, negative peak duration and negative peak area between distal and proximal stimulation sites. Some sets are complex with definite and probable diagnostic categories, reflecting research criteria. Among demyelinating neuropathies, many forms include combinations of focal conduction block, multifocal conduction block, and abnormal temporal dispersion. What is important diagnostically is recognition of demyelinating pathology. 6 Motor nerve conduction studies showing markedly dispersed CMAP waveform.
Peripheral Neuropathy. Vol. 1. Philadelphia: WB Saunders Company, 1984:1103 – 1136. Litvan I, Mangone C, Werden W et al. Reliability of the NINDS myotatic reflex scale. Neurology 1996; 47:969– 972. Denny-Brown D, Pennybacker J. Fibrillation and fasciculation in voluntary muscle. Brain 1938; 61:311 – 334. Bourque P, Dyck P. Selective calf weakness suggests intraspinal pathology, not peripheral neuropathy. Arch Neurol 1990; 47:79 – 80. Dyck P, Oviart K, Lambert E. Intensive evaluation of referral unclassified neuropathies yields improved diagnosis.