Pediatric Intraoperative Neuromonitoring

Nov 18, 2017 by in PEDIATRICS Comments Off on Pediatric Intraoperative Neuromonitoring

Fig. 8.1 Changes to motor evoked potentials (MEPs) during corpus callosotomy following placement of interhemispheric retractor resulting in loss of MEPs to lower extremities (arrow). Note changes recorded primarily from…

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Artifacts

Nov 18, 2017 by in PEDIATRICS Comments Off on Artifacts

Patient factors  Age  Height and/or length  Weight  Temperature  Anatomic variability (e.g., Martin-Gruber anastamosis) Environmental factors  Electrical (60 Hz) interference  Drug administration (pyridostigmine, neuromuscular blockade, botox) Machine/operator factors  Stimulation malposition  Electrode…

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Neuromuscular Junction Disorders

Nov 18, 2017 by in PEDIATRICS Comments Off on Neuromuscular Junction Disorders

1. Routine sensory and motor nerve conduction studies   • At least one upper and one lower extremity   • It is preferable to focus on symptomatic extremities 2. Repetitive nerve stimulation   • Low frequency repetitive stimulation…

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Epilogue

Nov 18, 2017 by in PEDIATRICS Comments Off on Epilogue

© Springer International Publishing AG 2017Hugh J. McMillan and Peter B. Kang (eds.)Pediatric Electromyographyhttps://doi.org/10.1007/978-3-319-61361-1_26 26. Epilogue Peter B. Kang1   and Hugh J. McMillan2   (1) Division of Pediatric Neurology, Shands Children’s Hospital, University of Florida College of Medicine, Gainesville, FL,…

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Normal Values Tables

Nov 18, 2017 by in PEDIATRICS Comments Off on Normal Values Tables

Age Amplitude (μV) Conduction velocity (m/s) Median nerve Term newborn ≥3.5 ≥22 0–1 month ≥3.5 ≥24 1–3 months ≥5 ≥25 3–6 months ≥5 ≥32 6–12 months ≥5 ≥33 1–2 years…

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Neuromuscular Complications in the Critically Ill Child

Nov 18, 2017 by in PEDIATRICS Comments Off on Neuromuscular Complications in the Critically Ill Child

  Clinical Electrodiagnostic Facial bulbar weak Respiratory distress Other Contractures NCS Rep stim/SFEMG EMG Anterior horn cell Spinal muscular atrophy Common Possible Bell shaped chest Uncommon Low CMAP Normal Neurogenic…

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Motor Unit Number Estimation

Nov 18, 2017 by in PEDIATRICS Comments Off on Motor Unit Number Estimation

Fig. 12.1 Representative examples of single motor unit potentials (SMUPs) stimulating the right ulnar nerve and recording abductor digiti minimi using the multipoint approach. One set of SMUPs had amplitudes…

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Mononeuropathies

Nov 18, 2017 by in PEDIATRICS Comments Off on Mononeuropathies

Fig. 20.1 Frequency of pediatric mononeuropathies (%) Mononeuropathies are seen in childhood as well as in adulthood, but as with other disease categories, the presentation and distribution of specific mononeuropathies…

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Historical Perspective of Electrodiagnosis

Nov 18, 2017 by in PEDIATRICS Comments Off on Historical Perspective of Electrodiagnosis

Fig. 1.1 Duchenne’s handmade direct current electrostimulation device. Non-invasive surface electrodes could be placed for precise stimulation of small muscles of the hand and face Fig. 1.2 “Faradization” of facial…

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