Book contents
- Essential Electromyography
- Essential Electromyography
- Copyright page
- Dedication
- Contents
- Figures
- Diagrams
- Tables
- Preface
- Acknowledgements
- Abbreviations
- Chapter 1 Introduction
- Chapter 2 Basic Anatomy and a Little Physiology
- Chapter 3 Peripheral Nerve Types
- Chapter 4 Peripheral Nerve Function
- Chapter 5 The Neuromuscular Junction
- Chapter 6 Muscle
- Chapter 7 Some Technical Matters: Electrodes, Stimulators, Amplifiers, Display, Averagers
- Chapter 8 Volume Conduction
- Chapter 9 Pathology
- Chapter 10 Electromyography (EMG)
- Chapter 11 Nerve Conduction Studies (NCS): Introduction
- Chapter 12 Nerve Conduction Studies: Normal
- Chapter 13 Nerve Conduction Studies: Degeneration
- Chapter 14 Nerve Conduction Studies: Demyelination
- Chapter 15 Degree of Pathology
- Chapter 16 Tests of Neuromuscular Transmission
- Chapter 17 Other Techniques: F-waves and H-reflexes
- Chapter 18 Clinical Applications
- Chapter 19 Other Stuff: Aberrant Nerve Pathways, A-waves, EMG Anomalies
- Chapter 20 Normal Values
- Chapter 21 Conclusion
- Glossary
- Further Reading
- Index
Chapter 14 - Nerve Conduction Studies: Demyelination
Published online by Cambridge University Press: 14 September 2023
- Essential Electromyography
- Essential Electromyography
- Copyright page
- Dedication
- Contents
- Figures
- Diagrams
- Tables
- Preface
- Acknowledgements
- Abbreviations
- Chapter 1 Introduction
- Chapter 2 Basic Anatomy and a Little Physiology
- Chapter 3 Peripheral Nerve Types
- Chapter 4 Peripheral Nerve Function
- Chapter 5 The Neuromuscular Junction
- Chapter 6 Muscle
- Chapter 7 Some Technical Matters: Electrodes, Stimulators, Amplifiers, Display, Averagers
- Chapter 8 Volume Conduction
- Chapter 9 Pathology
- Chapter 10 Electromyography (EMG)
- Chapter 11 Nerve Conduction Studies (NCS): Introduction
- Chapter 12 Nerve Conduction Studies: Normal
- Chapter 13 Nerve Conduction Studies: Degeneration
- Chapter 14 Nerve Conduction Studies: Demyelination
- Chapter 15 Degree of Pathology
- Chapter 16 Tests of Neuromuscular Transmission
- Chapter 17 Other Techniques: F-waves and H-reflexes
- Chapter 18 Clinical Applications
- Chapter 19 Other Stuff: Aberrant Nerve Pathways, A-waves, EMG Anomalies
- Chapter 20 Normal Values
- Chapter 21 Conclusion
- Glossary
- Further Reading
- Index
Summary
A similar diagrammatic approach shows how demyelination affecting nerves of different diameters will produce various combinations of potentials that are delayed, small or polyphasic. In extreme pathology conduction will be blocked. Clinical examples relating to sensory and motor studies are included. By contrast with the findings in degeneration, the location of demyelination may often be easily achieved by the demonstration of abnormal conduction over the segment between the stimulating and recording electrodes. This is also explained diagrammatically and clinical examples are included. The value of limiting the distance between stimulating and recording electrodes when trying to localise a mild lesion is illustrated by examples of palm to wrist studies in carpal tunnel syndrome.
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- Essential Electromyography , pp. 60 - 67Publisher: Cambridge University PressPrint publication year: 2023