Concentric Macro EMG

Nov 18, 2017 by in PEDIATRICS Comments Off on Concentric Macro EMG

Technique Recording surface Recording area (mm2) Number fibers in one motor unit studied (fibers) Utility Single fiber EMG Small; 25 μm at side-port 0.0005 1–2 Analysis of neuromuscular transmission Concentric…

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Radiculopathies and Plexopathies

Nov 18, 2017 by in PEDIATRICS Comments Off on Radiculopathies and Plexopathies

Fig. 17.1 Anatomy of the spinal cord, nerve root and vertebral body. Cross sectional (axial) view of the spine showing a sketch (left) and MRI T2-weighted image (right) revealing: (1)…

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Sensory Studies

Nov 18, 2017 by in PEDIATRICS Comments Off on Sensory Studies

Fig. 4.1 Median digit III orthodromic study recording over the median nerve at the wrist and stimulating digit III Fig. 4.2 (a, b). Median palmar sensory study (orthodromic) recording over…

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Pediatric Cranial Neuropathies

Nov 18, 2017 by in PEDIATRICS Comments Off on Pediatric Cranial Neuropathies

Age (years) Number of subjects Orbicularis oculi Orbicularis oris 0–1 120 3.1 ± 0.8 5.3 ± 1.7 1–3 91 3.3 ± 0.5 5.4 ± 1.6 3–9 89 3.5 ± 1.0…

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Myopathies and Myotonic Disorders

Nov 18, 2017 by in PEDIATRICS Comments Off on Myopathies and Myotonic Disorders

Fig. 22.1 CK serum levels on most muscle disorders in paediatric population. (serum CK expressed in IU/L) Electrophysiologic Evaluation EDX evaluation for muscle disorders in the pediatric population can be…

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Acquired and Hereditary Neuropathies

Nov 18, 2017 by in PEDIATRICS Comments Off on Acquired and Hereditary Neuropathies

1. Anatomical site(s) that are clinically involved:  − Brain  − Cranial nerve(s)  − Spine  − Nerve plexus  − Sensory ganglia  − Nerve root(s)  − Motor neuron  − Peripheral nerve(s) 2. Non-neurological findings  − Non-neurological organ involvement  − Concomitant diseases (auto-immune disease, cardiac…

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Anatomy and Physiology of Peripheral Nerves

Nov 18, 2017 by in PEDIATRICS Comments Off on Anatomy and Physiology of Peripheral Nerves

Fibre type Diameter (μm) Conduction Velocity (m/s) Myelination Function Afferent fibers IA 12–20 70–120 Large myelinated From muscle spindles IB 12–20 70–120 Large myelinated From Golgi tendon organs II 6–12…

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Muscle Analysis

Nov 18, 2017 by in PEDIATRICS Comments Off on Muscle Analysis

Fig. 9.1 Positive sharp waves (a) and fibrillation potentials (b). Note the initial positive (downward) deflection of both types of potentials. Courtesy Hugh J. McMillan, MD The analysis of motor…

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Case Presentations

Nov 18, 2017 by in PEDIATRICS Comments Off on Case Presentations

Nerve conduction studies  Normal Right Left  Normal Right Left Sensory Motor Median    Median (at wrist to APB)    PL (ms) <3.2 2.6 2.1  DML (ms) <4.2 3.7 3.9  SNAP (mV) >14.0…

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