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Betül Tepeli, Metin Karataş, Mehmet Coşkun, Oya Ümit Yemişçi
INTRODUCTION: The aim of this study was to evaluate the diagnostic value of magnetic resonance imaging (MRI) for muscle denervation due to focal lesions of the median nerve and to compare electrophysiological findings with MRI findings. METHODS: Twenty-six patients with electrophysiological studies diagnose for focal lesions of the median nerve were included in this study. Electrophysiological studies and MRI were conducted on 34 patients' hands. Patient hands were divided into two groups based on edema findings revealed by the MRI: group 1 (edema-negative group; n = 24) and group 2 (edema-positive group; n = 10)...
November 21, 2016: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
Marcia Ramos-E-Silva, Ana Paula Frade Lima Pinto, Rodrigo Pirmez, Tullia Cuzzi, Sueli Carneiro
In this second part of the series on dermatomyositis, the diagnosis and its criteria with review of autoantibodies, capillaroscopy, imaging exams, histopathology, muscle biopsy, electroneuromyography, and muscular enzymes will be assessed. The association with malignancy, since it is described as paraneoplasic, will be discussed. The different therapeutic options for this disease will also be reported, including for dystrophic calcification, a rare and late complication of dermatomyositis.
2016: Skinmed
E V Bakhtereva, V A Shirokov, E L Leiderman, A N Varaksin, V G Panov
AIM: To develop the algorithm of early diagnosis of carpal tunnel syndrome (CTS) at the stage of functional neurological disturbances by expanding diagnostic possibilities of electroneuromyography using artificial compression test. MATERIAL AND METHODS: Parameters of conductivity of the median nerve in 54 patients with finger numbness were analyzed during 3 months before and after compression of the forearm (blood pressure was measured for 1 min). RESULTS AND CONCLUSION: An increase in the latency in motor fibers and a decrease in the amplitude of sensory response were identified in patients with CTS signs and normal electroneuromyographical parameters at baseline...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Ozge Gulsum Illeez, Feyza Unlu Ozkan, Ozan Ozkaya, Ilknur Aktas, Korhan Ozkan
Carpal tunnel syndrome (CTS), the most common entrapment neuropathy in adulthood, is rare in childhood. The symptoms may differ to those in adults, or may be misinterpreted owing to children's difficulties in expressing themselves. Cases of idiopathic, bilateral CTS under the age of 5 are rare. A 4-year-old girl presented with pain in both hands and difficulty opening them in the morning. Bilateral severe CTS was determined at electroneuromyography (ENMG). Bilateral wrist splints were advised for both hands...
July 31, 2016: Journal of Tropical Pediatrics
Eda Gürçay, Özgür Zeliha Karaahmet, Murat Kara, Şule Şahin Onat, Ayşe Merve Ata, Ece Ünlü, Levent Özçakar
OBJECTIVE: To evaluate the possible radial nerve entrapment of patients with unilateral refractory lateral epicondylitis (LE) by using ultrasound (US) and electroneuromyography. DESIGN: Cross-sectional study. SETTING: Three physical medicine and rehabilitation departments. SUBJECTS: Consecutive 44 patients (15 M, 29 F) with unilateral refractory LE. METHODS: All patients underwent detailed clinical, electrophysiological and ultrasonographic evaluations...
July 31, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
V B Voytenkov, A V Klimkin, N V Skripchenko, A A Vil'nits, A I Konev, G P Ivanova
14 pediatric critically ill patients with various infectious pathologies were assessed. Electroneuromyography was carried out in all patients. Polyneuropathy of critical states were revealed in 10 children. It is shown that the frequency of severeform of this state was 40%. Polyneuropathy mostly affects the peripheral nerves of the lower extremities. Polyneuropathy developed typically on 5-7 day from the start of mechanical ventilation.
March 2016: Anesteziologiia i Reanimatologiia
A V Krasil'nikov, V A Naimushin
The article describes a case of multifocal motor neuropathy with conduction blocks in a female patient, aged 27 years. The development of the disease, results of neurological, laboratory, instrumental examinations, including electroneuromyography, and their role for the diagnosis and differential diagnosis are presented.
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Pedro Olavo De Paula Lima, Francisco Marcos Bezerra Cunha, Heitor De Sá Gonçalves, Maria Araci Pontes Aires, Rosa Lívia Freitas De Almeida, Ligia Regina Franco Sansigolo Kerr
BACKGROUND: In leprosy, sensory function of nerves is evaluated with monofilaments test and the motor function with voluntary muscle test, however electroneuromyography is considered as the gold-standard tool. OBJECTIVES: This study aimed: i) to evaluate the correlation between clinical tests and electroneuromyography for the diagnosis of leprosy neuropathy; and ii) to identify the prevalence of leprosy neuropathy and the most compromised peripheral nerves in leprosy...
March 2016: Leprosy Review
Safaa Zahlane, Nissrine Louhab, Meriem El Mellakh, Najib Kissani
The authors report an exceptional case of an anterior horn syndrome associated with Sjögren's syndrome in a 58-year-old patient with a flaccid tetraparesis revealed by asymmetric atrophy and diffuse fasciculations associated with xerostomia and xerophthalmia. The electroneuromyography objectified a diffuse anterior horn syndrome. The brain MRI and spinal cord were normal. Laboratory tests revealed positive anti-SSA and anti-SSB antibody. The salivary glands biopsy objectified lymphocytic sialadenitis grade 3 of Chisholm...
July 2016: Joint, Bone, Spine: Revue du Rhumatisme
Mari Auranen, Emil Ylikallio, Maria Shcherbii, Anders Paetau, Sari Kiuru-Enari, Jussi P Toppila, Henna Tyynismaa
OBJECTIVE: We describe the phenotype consistent with axonal Charcot-Marie-Tooth disease type 2 (CMT2) in 4 families with a c.197G>T (p.(Gly66Val)) variant in CHCHD10. METHODS: We sequenced the CHCHD10 gene in a cohort of 107 families with CMT2 of unknown etiology. The patients were characterized by clinical examination and electroneuromyography. Muscle MRI and biopsy of the muscle or nerve were performed in selected cases. Neuropathologic autopsy was performed in 1 case...
June 2015: Neurology. Genetics
Evandro Silva Ruas, Rodrigo Simões Castilho, Philipe Eduardo Carvalho Maia, Gustavus Lemos Ribeiro Melo
We present a case of Guyon's canal syndrome caused by a synovial cyst within the left wrist of a 48-year-old female patient. The patient presented pain and paresthesia in the region of the ulnar nerve, with loss of muscle strength and left-hand deformity. Electroneuromyography showed a compression of the ulnar nerve at the wrist level. Surgical decompression of the nerve at Guyon's canal with resection of the cyst was performed. After the surgery, the patient presented an improvement in the pain and paresthesia, as well as an increase in muscle trophism and correction of the deformity...
November 2010: Revista Brasileira de Ortopedia
Saulo Gomes de Oliveira, Eduardo Hosken Pombo, Priscila Rossi de Batista, Igor Machado Cardoso, Rodrigo Rezende
Parsonage-Turner Syndrome is a rare disease that affects the musculature of the scapular girdle, leading to muscle atrophy and large motor deficit. The etiology is uncertain, but it is believed that infectious and autoimmune factors are involved. The diagnosis is made by exclusion, and the main differential diagnoses are cervical disc hernias, rotator cuff injuries and rheumatic diseases. During diagnostic investigations, we perform laboratory tests, radiographs and MRI on the shoulders and cervical spine, with emphasis on electroneuromyography to help in making a definitive diagnosis...
July 2010: Revista Brasileira de Ortopedia
E L Dadali, I V Sharkova, T A Adyan, T B Milovidova, A V Polakov
OBJECTIVE: To study clinical/genetic characteristics of congenital muscular dystrophy caused by mutations in the LMNA gene in 5 patients from the Russian population. MATERIAL AND METHODS: DNA samples of 42 probands, aged from 2 months to 9 years, with characteristic signs of congenital muscular dystrophy from nonrelated families were studied. The diagnosis was based on the results of genealogical analysis, neurological examination, serum creatine phosphokinase activity, results of electroneuromyography...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
T E Popova, A A Tappahov, N A Shnaider, M M Petrova, T Y Nikolaeva, E E Konnikova, A A Kozhevnikov, V G Ammosov, N E Vinokurova
AIM: To estimate the importance of new algorithm introducing of PDP diagnostics in practice of NEFU medical institute Clinic in detection of severity level and predicting of clinical course. MATERIALS AND METHODS: 50 people with sensory-motor PDP form among patients with 2 type diabetes were examined on the basis of Clinic of NEFU medical institute. Patients have been divided into 2 groups by disease duration: the first groups were patients with duration of disease till 10 years, the second group--more than 10 years...
2015: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
N N Loginova, V B Voitenkov, A V Klimkin
Clinical and neurophysiologic study covered efficiency of rehabilitation in 40 patients with upper limbs occupational vegetative-sensory polyneuropathy. Each patient underwent infrared thermography and electroneuromyography of hands before and after the treatment. Findings are that post-treatment nerve impulse velocity in right median nerve has improved considerably, thermovisual pictures of both upper limbs also have reliably improved. Electroneuromyography and infrared thermography for evaluation of rehabilitation efficiency are justified...
2015: Meditsina Truda i Promyshlennaia Ekologiia
M Vedrenne-Cloquet, K Maincent, T Billette de Villemeur, M Mayer
Guillain-Barré Syndrome (GBS) is rare in infancy, and the diagnosis of atypical forms is difficult in this age range. The main differential diagnoses include congenital neuropathy. Biological and electrophysiological investigations remain important to confirm diagnosis and start treatment quickly. We report the case of an 8-month-old boy who presented with acquired hypotonia due to progressive descending limb paralysis, predominant in the upper limbs, associated with unexplained severe neutropenia. GBS was diagnosed thanks to the association of albuminocytologic dissociation on cerebrospinal fluid and demyelinating sensomotor polyradiculoneuropathy on electroneuromyography...
February 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
T K Verkhozina, E G Ippolitova, E S Tsislyak, V A Sorokovikov, Z V Koshkariova
AIM: To study the density of bone tissue and parameters of electroneuromyography (ENMG) in patients with osteochondrosis of lumbar spine. MATERIAL AND METHODS: Authors examined 67 patients, mean age 41 years, diagnosed with unilateral lumbar ischialgia syndrome. RESULTS AND CONCLUSION: The changes in the density of bone tissue (osteopenia and osteoporosis) and marked disturbances of neuromuscular apparatus function were found in 79% of the patients...
2015: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
M V Merculov, I O Golubev, A I Krupatkin
AIM: To study the influence of sympathectomy on nerve regeneration in human extremities. MATERIAL AND METHODS: Autoneuroplasty was performed in 86 patients with posttraumatic defects of median and ulnar nerves: in 42 cases in combination with sympathectomy (thoracoscopic clipping of Th3-4 sympathetic ganglions) and in 44 cases without sympathectomy. Computer thermography, laser Doppler flowmetry with spectral wavelet-analysis of blood flow oscillations, ultrasonography of nerve trunks and stimulation electroneuromyography were used...
2015: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
D V Rusanova, O L Lakhman
In connected sample, the authors studied changes in state of peripheral nerves (electroneuromyography) and central afferent conduction tracts (somatosensory evoked potentials) in patients with long-term chronic mercury intoxication. The study helped to reveal negative changes in peripheral and central afferent conduction tracts in the patients with long-term chronic mercury intoxication, more marked in 3 period of the study--demyelination of sensory and motor components of peripheral nerves and longer impulse propagation time in conduction tracts of subcortical and cortical structures of somatosensory brain cortex...
2015: Meditsina Truda i Promyshlennaia Ekologiia
J L Benaim, O Amar, A Alliez, B Bertrand
In case of peripheral facial palsy, electroneuromyogram of the facial nerve provides an indication of the nature (myelinic and/or axonal) and severity of nerve damage, thereby facilitating establishment of a prognosis, which is favorable for myelin damage, and guarded for severe axonal damage. The initial examination must be carried out during the second week. In case of severe axonal damage, examination results can be monitored at the third, and more particularly the sixth and the twelfth months. Stable neurophysiological data between the sixth and the twelfth months signal damage stability and open the way to possible palliative surgery...
October 2015: Annales de Chirurgie Plastique et Esthétique
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