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Chapter 4 - Electrodiagnostic Studies

from Part I - Evaluation and Treatment of Patients with a Neuromuscular Disorder

Published online by Cambridge University Press:  aN Invalid Date NaN

Jessica E. Hoogendijk
Affiliation:
University Medical Center Utrecht
Marianne de Visser
Affiliation:
Amsterdam University Medical Center
Pieter A. van Doorn
Affiliation:
Erasmus MC, University Medical Center, Rotterdam
Erik H. Niks
Affiliation:
Leiden University Medical Center
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Summary

Electrodiagnostic studies are often at the centre of diagnostic strategies in neuromuscular disorders. The basic electrophysiological techniques commonly used are focused on documenting sufficient proof of dysfunction emanating from different parts of the peripheral nervous system: peripheral motor neuron, nerve root, plexus and peripheral nerve, neuromuscular junction, and skeletal muscle. In short, dedicated nerve conduction studies and needle myography or a combination of these may be needed to help accurately identify the site and nature of the neuromuscular disorder (Fig. 4.1A–C). Appropriate and standardized instrumentation, including control of temperature and uniform sampling, is essential for meaningful interpretation. The electrodiagnostic techniques aligned with the main anatomical correlates underlying different neuromuscular disorders are discussed in this chapter.

Type
Chapter
Information
Neuromuscular Disease
A Case-Based Approach
, pp. 35 - 41
Publisher: Cambridge University Press
Print publication year: 2024

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References

Suggested Reading

Bromberg, MB. Review of the evolution of electrodiagnostic criteria for chronic inflammatory demyelinating polyradicoloneuropathy. Muscle Nerve 2011;43(6):780794. doi: 10.1002/mus.22038. PMID: 21607962.CrossRefGoogle ScholarPubMed
de Carvalho, M. Electrodiagnosis of amyotrophic lateral sclerosis: a review of existing guidelines. J Clin Neurophysiol 2020 Jul;37(4):294298. doi: 10.1097/WNP.0000000000000682. PMID: 33151660.CrossRefGoogle ScholarPubMed
Fournier, E, Tabti, N. Clinical electrophysiology of muscle diseases and episodic muscle disorders. Handb Clin Neurol 2019;161:269280. doi: 10.1016/B978-0-444-64142-7.00053-9. PMID: 31307605.CrossRefGoogle ScholarPubMed
Franssen, H, Notermans, NC. Length dependence in polyneuropathy associated with IgM gammopathy. Ann Neurol 2006;59(2):365371. doi: 10.1002/ana.20785. PMID: 16437567.CrossRefGoogle ScholarPubMed
Joint Task Force of the EFNS and the PNS. European Federation of Neurological Societies/Peripheral Nerve Society Guideline on management of paraproteinemic demyelinating neuropathies. Report of a Joint Task Force of the European Federation of Neurological Societies and the Peripheral Nerve Society–first revision. J Peripher Nerv Syst 2010;15(3):185195. doi: 10.1111/j.1529-8027.2010.00278.x. PMID: 21040140.CrossRefGoogle Scholar
Katzberg, HD, Abraham, A. Electrodiagnostic assessment of neuromuscular junction disorders. Neurol Clin 2021;39(4):10511070. doi: 10.1016/j.ncl.2021.06.013. Epub 2021 Sep 3. PMID: 34602214.CrossRefGoogle ScholarPubMed
Nasu, S, Misawa, S, Sekiguchi, Y, et al. Different neurological and physiological profiles in POEMS syndrome and chronic inflammatory demyelinating polyneuropathy. J Neurol Neurosurg Psychiatry 2012;83(5):476479. doi: 10.1136/jnnp-2011-301706. Epub 2012 Feb 15. PMID: 22338030.CrossRefGoogle ScholarPubMed
Preston, DC, Shapiro, BE. Electromyography and Neuromuscular Disorders: Clinical-Electrodiagnostic-Ultrasound Correlations. 4th edn. Elsevier; 2020.Google Scholar
Van Asseldonk, JT, Van den Berg, LH, Kalmijn, S, Wokke, JH, Franssen, H. Criteria for demyelination based on the maximum slowing due to axonal degeneration, determined after warming in water at 37 degrees C: diagnostic yield in chronic inflammatory demyelinating polyneuropathy. Brain 2005;128:880891. doi: 10.1093/brain/awh375. Epub 2005 Feb 2. PMID: 15689367.CrossRefGoogle Scholar
Van den Bergh, PYK, van Doorn, PA, Hadden, RDM, et al. European Academy of Neurology/Peripheral Nerve Society guideline on diagnosis and treatment of chronic inflammatory demyelinating polyradiculoneuropathy: Report of a joint Task Force-Second revision. Eur J Neurol 2021 Nov;28(11):35563583. doi: 10.1111/ene.14959. Epub 2021 Jul 30. Erratum in: Eur J Neurol 2022;29(4):1288. PMID: 34327760.CrossRefGoogle ScholarPubMed
Vlam, L, van der Pol, WL, Cats, EA, et al. Multifocal motor neuropathy: diagnosis, pathogenesis and treatment strategies. Nat Rev Neurol 2011 22;8(1):4858. doi: 10.1038/nrneurol.2011.175. PMID: 22105211.CrossRefGoogle ScholarPubMed

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