388 results match your criteria Physical Assessment for Electrodiagnostic Medicine


Factors determining the effectiveness of conservative treatment in patients with carpal tunnel syndrome.

Int J Occup Med Environ Health 2019 Apr 19;32(2):197-215. Epub 2019 Mar 19.

University of Rzeszów, Rzeszów, Poland (Faculty of Medicine, Institute of Physiotherapy).

Objectives: The study aims to assess selected factors contributing to the long-term effects of the conservative treatment of carpal tunnel syndrome (CTS).

Material And Methods: Forty-nine individuals diagnosed with CTS were enrolled in the study. The symptoms resulted from occupational hand overuse in 37 patients. Read More

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http://dx.doi.org/10.13075/ijomeh.1896.01320DOI Listing
April 2019
5 Reads

Neurologic Conditions: Common Peripheral Neuropathies.

FP Essent 2019 Feb;477:11-15

University of South Alabama College of Medicine Department of Family Medicine, 1601 Center Street, 2N Mobile, AL 36604.

Peripheral neuropathies (PNs) are a group of conditions caused by damage to the peripheral nervous system. PN is a condition commonly seen in the family medicine setting and can lead to reduced quality of life due to pain, ulceration, and falls. More than 100 etiologies of PN have been identified; the most common are metabolic, drug-related, and systemic etiologies. Read More

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February 2019
2 Reads

Ultrasonographic Assessment of Carpal Tunnel Syndrome Severity: A Systematic Review and Meta-Analysis.

Am J Phys Med Rehabil 2019 May;98(5):373-381

From the Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, Iran University of Medical Sciences, Tehran, Iran (PR, NY, SE, AB-G); Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran (BE, SR); and Medical Students Research Center, Isfahan University of Medical Sciences, Isfahan, Iran (AA).

Objective: The aim of the study was to investigate the overall estimates of cross-sectional areas of the median nerve measured by ultrasonography in accordance with the electrodiagnostic classification of carpal tunnel syndrome severity.

Design: MEDLINE (PubMed), Embase (Ovid), and Web of Science were searched for studies reporting the median nerve cross-sectional area measured by ultrasonography for mild, moderate, and severe carpal tunnel syndrome based on electrodiagnostic study. Cross-sectional area values measured at the carpal tunnel inlet were included in the analyses. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001104DOI Listing
May 2019
1 Read
2.012 Impact Factor

Factors associated with limited hand motion after hand trauma.

Medicine (Baltimore) 2019 Jan;98(3):e14183

Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Hand injuries are common and have a significant impact on daily life. However, the factors associated with functional outcome after hand injuries are not well established. The purpose of this study was to identify factors that are independently associated with hand total active motion (TAM). Read More

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http://dx.doi.org/10.1097/MD.0000000000014183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370153PMC
January 2019
2 Reads

Diagnosis Particularities of Amyotrophic Lateral Sclerosis in an Elderly Patient.

Curr Health Sci J 2018 Jan-Mar;44(1):92-96. Epub 2018 Mar 22.

University of Medicine and Pharmacy of Craiova, Department of Physical Medicine and Rehabilitation.

Amyotrophic lateral sclerosis (ALS) is a degenerative motor neuron disease (MND) which prognosis is poor. Early diagnosis permits to set up immediately adapted treatment. Available diagnostic criteria are based on the detection of both central and peripheral motor neuron injury in bulbar, cervical, thoracic and lumbar regions. Read More

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http://dx.doi.org/10.12865/CHSJ.44.01.16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295188PMC
March 2018
3 Reads

Carpal tunnel syndrome caused by synovial osteochondromatosis of the finger flexor tendon: A case report.

Medicine (Baltimore) 2018 Dec;97(52):e13943

Department of Rehabilitation Medicine.

Rationale: Carpal tunnel syndrome (CTS) is the most common peripheral nerve neuropathy resulting from compression of the median nerve as it traverses the carpal tunnel. The pathophysiology of this condition is multifactorial, and majority of cases of CTS are idiopathic. We report cases of CTS caused by synovial osteochondromatosis (SOC), which has rarely been reported. Read More

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http://dx.doi.org/10.1097/MD.0000000000013943DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314781PMC
December 2018
2 Reads

Median neuropathy at the wrist in patients with systemic sclerosis: two-year follow-up study.

Reumatologia 2018 31;56(5):294-300. Epub 2018 Oct 31.

Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Objectives: To determine the incidence and factors associated with median neuropathy at the wrist (MNW) in systemic sclerosis (SSc) patients using an electrodiagnostic (EDX) study.

Material And Methods: SSc patients who attended the scleroderma clinic, Srinagarind Hospital, were prospectively evaluated by questionnaire, physical examination, and EDX study. The questionnaire consisted of the baseline characteristics, type of scleroderma, clinical signs and symptoms associated with scleroderma, and the Boston questionnaire. Read More

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http://dx.doi.org/10.5114/reum.2018.79500DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263308PMC
October 2018
6 Reads

The diagnostic accuracy of median nerve ultrasonography in elderly patients with carpal tunnel syndrome: sensitivity and specificity assessment.

Clin Interv Aging 2018 11;13:1953-1962. Epub 2018 Oct 11.

Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden,

Background: Accurate diagnosis of carpal tunnel syndrome (CTS), the most common entrapment neuropathy, and its differentiation from other diseases are essential, especially in older individuals with advanced symptoms and modified electrophysiological abnormalities. The current study was conducted to evaluate the diagnostic accuracy of ultrasonography (US), regarding sensitivity and specificity in the diagnosis of CTS in elderly patients.

Methods: Individuals with upper limb complaints and reference subjects were recruited from the Rofaydeh Hospital, Tehran, Iran, from June 2013 to October 2014 - (15 months). Read More

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https://www.dovepress.com/the-diagnostic-accuracy-of-median-
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http://dx.doi.org/10.2147/CIA.S177307DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6187921PMC
December 2018
22 Reads

Ultrasound-Guided Cubital Tunnel Decompression in a Collegiate Swimmer: A Case Report.

Clin J Sport Med 2018 Oct 8. Epub 2018 Oct 8.

Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.

A 19-year-old female collegiate swimmer presented to our sports medicine clinic with a history and physical examination consistent with right ulnar neuropathy at the cubital tunnel. Diagnostic ultrasound (US) revealed compression of the ulnar nerve under the cubital tunnel retinaculum (CTR) with nerve swelling proximal to the site of compression. Electrodiagnostic studies confirmed the diagnosis of a moderate to severe ulnar neuropathy at the elbow. Read More

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http://Insights.ovid.com/crossref?an=00042752-900000000-9912
Publisher Site
http://dx.doi.org/10.1097/JSM.0000000000000680DOI Listing
October 2018
10 Reads

Guiding Treatment for Foot Pain.

Phys Med Rehabil Clin N Am 2018 11 14;29(4):783-792. Epub 2018 Sep 14.

Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA.

In the electrodiagnostic (EDX) approach of the patient who presents with foot pain, numbness, and/or tingling, it is important to consider a broad differential diagnosis of both neuropathic and nonneuropathic conditions, including focal and systemic causes. This article assists the electromyographer in the selection and utilization of the most appropriate EDX studies for evaluation. The EDX findings and impression can then help guide potential treatment options for the patient with foot pain and other symptoms. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10479651183079
Publisher Site
http://dx.doi.org/10.1016/j.pmr.2018.06.012DOI Listing
November 2018
4 Reads

Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report.

Medicine (Baltimore) 2018 Oct;97(40):e12515

Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Republic of Korea.

Rationale: Scapular winging is caused by neuromuscular dysfunction of shoulder stabilizer muscles. Clinically, a winged scapula can be easily diagnosed by typical physical findings. We report a case of atypical winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy, which has rarely been reported. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810050-0002
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000012515DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200514PMC
October 2018
13 Reads

MR Neurography of the Lumbosacral Plexus for Lower Extremity Radiculopathy: Frequency of Findings, Characteristics of Abnormal Intraneural Signal, and Correlation with Electromyography.

AJNR Am J Neuroradiol 2018 Nov 27;39(11):2154-2160. Epub 2018 Sep 27.

Neurology (N.F.), Center for Comprehensive Spine Care, Weill Cornell Medicine, NewYork-Presbyterian Hospital, New York, New York.

Background And Purpose: MR neurography enables high resolution imaging of peripheral nerves. Our aim was to evaluate the utility of MR neurography in lumbosacral radiculopathy and correlate abnormal intraneural signal with history, physical examination, and abnormal electrodiagnostic study findings.

Materials And Methods: Retrospective review of lumbosacral MR neurography examinations performed from December 2014 through January 2017 on a 3T scanner was undertaken. Read More

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http://dx.doi.org/10.3174/ajnr.A5797DOI Listing
November 2018
4 Reads

Congenital asymmetric crying facies syndrome: A case report.

Medicine (Baltimore) 2018 Aug;97(31):e11403

Introduction: Congenital asymmetric crying facies (ACF) in newborns is a rare condition usually caused by unilateral agenesis or hypoplasia of the depressor anguli oris muscle on one side of the mouth (symmetric face at rest and asymmetric face while crying), which is often accompanied with other malformations.

Case Report: We present a case of a female newborn with nonconsanguineous ethnic Han Chinese parents who presented with 37 minutes of breathlessness and asymmetrical face when crying. A thorough physical examination had been conducted. Read More

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http://dx.doi.org/10.1097/MD.0000000000011403DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081082PMC
August 2018
25 Reads

Prevalence of carpal tunnel syndrome presenting with symptoms in an ulnar nerve distribution: A prospective study.

Muscle Nerve 2019 Jan 13;59(1):60-63. Epub 2018 Nov 13.

Department of Orthopedic Surgery, Washington University School of Medicine, Campus Box 8233, 425 South Euclid Avenue, St. Louis, Missouri, USA.

Introduction: Patients presenting with symptoms of pain/paresthesias primarily in an ulnar nerve distribution may be noted to have exclusive median mononeuropathy at the wrist on subsequent electrodiagnostic testing. There has been limited research looking at the prevalence of this clinical presentation.

Methods: A cohort of adults were surveyed to assess for severity and localization of hand symptoms using the Katz hand diagram and Boston Carpal Tunnel Questionnaire Symptoms Severity Scale. Read More

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http://dx.doi.org/10.1002/mus.26310DOI Listing
January 2019
7 Reads

Unilateral brachial plexus injury following carbon monoxide intoxication: A case report.

Medicine (Baltimore) 2018 Jul;97(30):e11699

Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, Republic of Korea.

Rationale: We report a 45-year-old male patient with unilateral brachial plexopathy following acute carbon monoxide (CO) intoxication.

Patient Concerns: The patient suddenly developed severe left upper extremity weakness and cognitive impairment after CO intoxication.

Diagnoses: He showed severe weakness in the left upper extremity and decreased cognitive function during physical examination. Read More

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http://dx.doi.org/10.1097/MD.0000000000011699DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078647PMC
July 2018
6 Reads

Median Nerve Symptoms, Signs, and Electrodiagnostic Abnormalities Among Working Adults.

J Am Acad Orthop Surg 2018 Aug;26(16):576-584

From the Rocky Mountain Center for Occupational and Environmental Health (Dr. Hegmann, Dr. Thiese, and Dr. Wood), the Department of Mechanical Engineering (Dr. Merryweather), and the Division of Physical Medicine and Rehabilitation (Dr. Kendall), the University of Utah, Salt Lake City, UT; the Center for Ergonomics, College of Health Sciences (Dr. Garg) and the Department of Occupational Science and Technology (Dr. Kapellusch), the University of Wisconsin-Milwaukee, Milwaukee, WI; Infinity Healthcare, Kenosha, WI (Dr. Foster); the Wood VA Medical Center, Milwaukee, WI (Dr. Drury); and the Hand Center, Wichita, KS (Dr. Melhorn).

Introduction: Diagnostic screening tests for carpal tunnel syndrome (CTS) have not been rigorously assessed in large populations.

Methods: This study is a cross-sectional analysis from a prospective cohort study. Participants' (n = 1,194) symptoms and disease prevalence were measured. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00034DOI Listing
August 2018
22 Reads

Sensitivity of high-resolution ultrasonography in clinically diagnosed carpal tunnel syndrome patients with hand pain and normal nerve conduction studies.

J Pain Res 2018 10;11:1319-1325. Epub 2018 Jul 10.

Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA,

Background: Suspecting carpal tunnel syndrome (CTS) in patients with hand pain is usual. Considering the variable rate of false-negative results in nerve conduction study (NCS), as a frequent reference confirmatory standard test, we aimed to evaluate the diagnostic accuracy of neuromuscular ultrasound in patients with clinical evidence of CTS and normal NCS.

Methods: It was a diagnostic accuracy study conducted in the outpatient clinic of Rofaydeh Hospital, Tehran, Iran, between July 2012 and December 2016; it recruited clinically diagnosed CTS patients and a control group. Read More

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http://dx.doi.org/10.2147/JPR.S164004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044364PMC
July 2018
2 Reads

Comparison of Interpolation Methods in the Diagnosis of Carpal Tunnel Syndrome

Balkan Med J 2018 09 1;35(5):378-383. Epub 2018 Jun 1.

Department of Physical Medicine and Rehabilitation, Cooper Medical School of Rowan University, Camden, New Jersey, USA

Background: Diagnosis of carpal tunnel syndrome is based on clinical symptoms, examination findings, and electrodiagnostic studies. For carpal tunnel syndrome, the most useful of these are nerve conduction studies. However, nerve conduction studie can result in ambiguous or false-negative results, particularly for mild carpal tunnel syndrome. Read More

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http://dx.doi.org/10.4274/balkanmedj.2017.1314DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158466PMC
September 2018
4 Reads

Delayed diagnosis of traumatic gunshot wound Brown-Sequard-plus syndrome due to associated brachial plexopathy.

Spinal Cord Ser Cases 2018 21;4:44. Epub 2018 May 21.

1Department of Physical Medicine, Rehabilitation and Sport Medicine, University of Puerto Rico-School of Medicine, San Juan, Puerto Rico.

Introduction: Brown-Séquard Syndrome (BSS) is one of the rarest incomplete spinal cord syndromes. The combination of injuries to peripheral nerves and the central nervous system result in an array of symptoms that can result in overlapping clinical presentations and delayed diagnosis. Early detection of spinal cord injury in patients with peripheral nerve injury has been observed to have a positive effect on outcomes. Read More

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http://dx.doi.org/10.1038/s41394-018-0075-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962581PMC
May 2018
16 Reads

Nerve Entrapment Syndromes at the Wrist and Elbow by Sonography.

Semin Musculoskelet Radiol 2018 Jul 23;22(3):344-353. Epub 2018 May 23.

Cattedra "R" di Radiologia-DICMI, Università di Genova, Genova, Italy.

Nerve entrapment syndromes of the upper extremity are associated with structural abnormalities or by an intrinsic abnormality of the nerve. Nerve entrapment syndromes generally have a typical clinical presentation, and findings on physical examination and in conjunction with electrodiagnostic studies imaging is used to evaluate the cause, severity, and etiology of the entrapment. With the development of high-frequency linear array transducers (12-24 MHz), ultrasound (US) is incomparable in terms of spatial resolution to depict morphological aspects and changes in nerves. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1641577
Publisher Site
http://dx.doi.org/10.1055/s-0038-1641577DOI Listing
July 2018
24 Reads

Complex regional pain syndrome type II after cervical transforaminal epidural injection: A case report.

Medicine (Baltimore) 2018 05;97(20):e10784

Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.

Rationale: We report a case of a 61-year-old patient who developed complex regional pain syndrome (CRPS) type II after a cervical transforaminal epidural steroid injection (CTESI).

Patient Concerns: The patient developed sudden-onset severe pain and swelling of his upper right limb after a cervical transforaminal epidural injection.

Diagnoses: On physical examination, the patient's symptoms and signs corresponded to the Budapest criteria for CRPS. Read More

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http://dx.doi.org/10.1097/MD.0000000000010784DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976320PMC
May 2018
5 Reads

Peripheral Neuropathy in Children and Adolescents with Insulin-dependent Diabetes Mellitus.

Iran J Child Neurol 2018 ;12(2):83-90

Department of Pediatric Endocrinology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Objective: Type 1 diabetes mellitus (T1DM) is a chronic immune-mediated disease. Diabetic peripheral neuropathy (DPN) is an important microvascular complication of T1DM. One of the most important risk factors for the development of DPN is poor glycemic control. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904742PMC
January 2018
3 Reads

Neuromuscular ultrasound of the brachial plexus: A standardized approach.

Muscle Nerve 2018 Nov 15;58(5):618-624. Epub 2018 Jun 15.

Department of Neurology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA, 27157.

Reliable assessment of brachial plexus disorders can be challenging due to the complexity of the anatomy and variation of potential pathology. Electrodiagnostic testing can be both uncomfortable for the patient and inconclusive. Ultrasound can serve as a complement to clinical assessment, electrodiagnostic testing, and other imaging modalities. Read More

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http://dx.doi.org/10.1002/mus.26144DOI Listing
November 2018
5 Reads

Sensitivity and Specificity of Modified Bragard Test in Patients With Lumbosacral Radiculopathy Using Electrodiagnosis as a Reference Standard.

J Chiropr Med 2018 Mar 12;17(1):36-43. Epub 2018 Jan 12.

Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Fars, Islamic Republic of Iran.

Objective: The purpose of this study was to assess the diagnostic accuracy of a modified Bragard test compared with the straight leg raise (SLR) test in patients presenting with electrodiagnostic evidence of L5 and S1 nerve root compression.

Methods: This was a cross-sectional study conducted on 506 consecutive patients with signs and symptoms consistent with lumbosacral radiculopathy confirmed by electrodiagnostic study. Patients were evaluated from September 2013 to September 2015 in the physical medicine and rehabilitation outpatient clinic of Shahid Faghihi Teaching Hospital, Shiraz, Iran. Read More

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http://dx.doi.org/10.1016/j.jcm.2017.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883635PMC
March 2018
7 Reads

Comparison of single-dose radial extracorporeal shock wave and local corticosteroid injection for treatment of carpal tunnel syndrome including mid-term efficacy: a prospective randomized controlled trial.

BMC Musculoskelet Disord 2018 01 25;19(1):32. Epub 2018 Jan 25.

Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Background: Recent studies have reported that radial extracorporeal shock wave therapy (rESWT) reduces pain and improves function in patients with mild to moderately severe carpal tunnel syndrome (CTS) compared to a placebo. However, most of those studies used multi-session rESWT combined with wrist support and evaluation of efficacy was limited to a maximum of 14 weeks.

Methods: The prospective randomized controlled trial compared efficacy in relieving pain and improving clinical function between single-dose rESWT and local corticosteroid injection (LCsI) over the mid-term (24 weeks). Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
Publisher Site
http://dx.doi.org/10.1186/s12891-018-1948-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5784684PMC
January 2018
7 Reads

Collet-Sicard Syndrome With Hypoglossal Nerve Schwannoma: A Case Report.

Ann Rehabil Med 2017 Dec 28;41(6):1100-1104. Epub 2017 Dec 28.

Department of Rehabilitation Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.

Collet-Sicard syndrome is a rare syndrome that involves paralysis of 9th to 12th cranial nerves. We report an uncommon case of schwannoma of the hypoglossal nerve in a 39-year-old woman presented with slurred speech, hoarse voice, and swallowing difficulty. Physical examination revealed decreased gag reflex on the right side, decreased laryngeal elevation, tongue deviation to the right side, and weakness of right trapezius muscle. Read More

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http://dx.doi.org/10.5535/arm.2017.41.6.1100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5773432PMC
December 2017
5 Reads

Bilateral spontaneous anterior shoulder dislocation: A missed orthopedic injury mistaken as proximal neuropathy.

Chin J Traumatol 2017 Dec 4;20(6):370-372. Epub 2017 Nov 4.

Department of Electrodiagnostic Studies, Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, 46000, Punjab, Pakistan.

A number of orthopedic injuries can occur during epileptic seizures. Anterior shoulder dislocation is one such orthopedic injury that is quite rare. The shoulder dislocation may injure the brachial plexus. Read More

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http://dx.doi.org/10.1016/j.cjtee.2017.06.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5832485PMC
December 2017
5 Reads

Prevalence and predictors of peripheral neuropathy in nondiabetic children with chronic kidney disease.

Muscle Nerve 2018 05 14;57(5):792-798. Epub 2018 Feb 14.

Department of Laboratory Medicine, All India Institute of Medical Sciences, New Delhi, India.

Introduction: This study sought to determine the prevalence and predictors of peripheral neuropathy in nondiabetic children with chronic kidney disease (CKD).

Methods: Fifty-one consecutive normally nourished children, 3-18 years of age, with CKD stages IV and V of nondiabetic etiology were enrolled from May to December 2012. Nerve conduction studies were performed in 50 children. Read More

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http://dx.doi.org/10.1002/mus.26027DOI Listing
May 2018
21 Reads
2.283 Impact Factor

Diagnostic work-up in steroid myopathy.

Endocrine 2018 05 15;60(2):219-223. Epub 2017 Nov 15.

Department of Translational Neurosciences and Neurotherapeutics, John Wayne Cancer Institute and Pacific Neuroscience Institute, Santa Monica, CA, USA.

Introduction: Steroid myopathy is a well-known sign of endogenous Cushing's syndrome as well as a side effect of glucocorticoid administration. The clinical finding of muscle weakness and the clinical inspection of the muscle size are the most commonly used diagnostic tools, sometimes in combination with needle electromyography, but there are no means to detect the myopathy before the appearance of clinical or electrodiagnostic signs. Until now, no guidelines have been produced for a disease-specific evaluation of muscle impairment in patients with Cushing's syndrome. Read More

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http://dx.doi.org/10.1007/s12020-017-1472-5DOI Listing
May 2018
12 Reads

Peripheral Neuropathy in Multiple Sclerosis: An Electrophysiologic Study in Iranian Patients.

Acta Med Iran 2017 Aug;55(8):496-501

Department of Physical Medicine and Rehabilitation, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Multiple sclerosis (MS) is the most common cause of disability after trauma in young adults in Northern Hemisphere; it imposes a major burden on the affected young people. A significant association between MS and demyelinating peripheral neuropathy which might be due to common pathogenesis for the central and peripheral nerves demyelination has been reported in several studies. We aimed to assess if there is any peripheral nervous system involvement in a sample of Iranian MS population. Read More

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August 2017
9 Reads

Comparison of the brainstem auditory evoked responses during sevoflurane or alfaxalone anaesthesia in adult cats.

Vet Anaesth Analg 2017 Sep 2;44(5):1085-1090. Epub 2017 Mar 2.

Department of Small Animal Medicine and Surgery, Faculty of Veterinary Medicine, Catholic University of Valencia "San Vicente Mártir", Spain.

Objective: To compare the effects of general anaesthesia using sevoflurane or alfaxalone on the brainstem auditory evoked response (BAER) test in adult healthy cats.

Study Design: Prospective, clinical, 'blinded', crossover study.

Animals: Ten feral adult healthy cats. Read More

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http://dx.doi.org/10.1016/j.vaa.2016.11.007DOI Listing
September 2017
10 Reads

Evaluation of thenar muscles by MRI in carpal tunnel syndrome.

Exp Ther Med 2017 Sep 9;14(3):2025-2030. Epub 2017 Jul 9.

Department of Orthopaedics, Juntendo University School of Medicine, Tokyo 113-8421, Japan.

In the present study, the thenar muscles were evaluated using magnetic resonance imaging (MRI), in addition, the correlations between thenar muscle changes, clinical findings and electrodiagnostic results from patients with carpal tunnel syndrome were investigated. The subjects were 13 patients (17 wrists) who were clinically diagnosed with carpal tunnel syndrome. In all patients, a medical history was obtained and physical examination was performed, in addition to assessment using the Kapandji scoring system, visual analogue scale (VAS), quick-disabilities of the arm, shoulder and hand (Q-DASH) score, electrodiagnostic results of the median nerve, and MRI of the thenar muscles. Read More

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http://dx.doi.org/10.3892/etm.2017.4743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609147PMC
September 2017
23 Reads

Implementation of a Multifaceted Interactive Electrodiagnostic Medicine Workshop in a Physical Medicine and Rehabilitation Residency Program.

Am J Phys Med Rehabil 2018 02;97(2):134-140

From the Department of PM&R, Spaulding Rehabilitation Hospital, Harvard Medical School (JD, MvdR, SS, SP); Department of Biostatistics, Boston University School of Public Health (ELM); and VA Boston Healthcare System (SP), Boston, Massachusetts.

Electrodiagnostic medicine is a required component of Physical Medicine and Rehabilitation residency education, but limited resources exist to guide curriculum development. Our objective was to create a focused workshop to enhance our residency program's electrodiagnostic curriculum. We created two separate 1. Read More

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http://dx.doi.org/10.1097/PHM.0000000000000828DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771822PMC
February 2018
10 Reads

Traumatic lower extremity and lumbosacral peripheral nerve injuries in adults: Electrodiagnostic studies and patients symptoms.

J Forensic Leg Med 2017 Nov 24;52:89-92. Epub 2017 Aug 24.

Ph.D student in Educational Psychology, Islamic Azad University of Tabriz, Tabriz, Iran.

Background: Peripheral nerve injuries (PNI) are relatively common pathologies in clinical practice. PNIs are rare in the lower extremity but have worse prognosis than those in the upper extremity. Electrodiagnostic studies could help better understanding PNIs. Read More

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http://dx.doi.org/10.1016/j.jflm.2017.08.010DOI Listing
November 2017
13 Reads

Are extramedian symptoms associated with peripheral causes in patient with carpal tunnel syndrome? Electrodiagnostic and ultrasonographic study.

J Electromyogr Kinesiol 2018 Feb 10;38:203-207. Epub 2017 Aug 10.

Marmara University School of Medicine, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey.

Objective: To evaluate the relationship between extramedian spreading of sensorial symptoms and median and ulnar nerve cross-sectional area (CSA) and to compare the ultrasonographic and electrophysiological findings in patients with carpal tunnel syndrome (CTS) with or without extramedian sensory symptoms.

Design: Cross-sectional study.

Materials And Methods: Patients with CTS were divided into two groups as with or without extramedian symptoms and were assessed clinically, electrophysiologically and ultrasonographically by three blind investigators. Read More

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http://dx.doi.org/10.1016/j.jelekin.2017.08.003DOI Listing
February 2018
5 Reads

Evaluation of coexisting polymyositis in feline myasthenia gravis: A case series.

Neuromuscul Disord 2017 Sep 16;27(9):804-815. Epub 2017 Jun 16.

Université Paris-Est, Ecole nationale vétérinaire d'Alfort (EnvA), Unité de Neurologie, 7 avenue du Général de Gaulle, 94700 Maisons-Alfort, France; Inserm, IMRB U955-E10 Biology of the Neuromuscular System, 8 rue du général Sarrail, 94000 Créteil, France.

Acquired myasthenia gravis (MG) is relatively uncommon in cats. In humans, MG may be associated with other immune-mediated disorders, in particular polymyositis (PM). In this study, we described in-depth electrodiagnostic findings and pathological changes in muscles of cats diagnosed with MG, and assessed the presence of concurrent PM. Read More

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http://dx.doi.org/10.1016/j.nmd.2017.06.006DOI Listing
September 2017
4 Reads
2.640 Impact Factor

The Unexpected Hand Patient.

Eplasty 2017 5;17:e16. Epub 2017 May 5.

University of Louisville School of Medicine, Louisville, Ky.

Objective: Physicians should be aware of patients trying to obtain a diagnosis for secondary gain. Malingering is a diagnosis that should be suspected when objective findings do not support the subjective symptoms and there is secondary gain.

Methods: A series of 21 cases are presented that support this position. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5424442PMC
May 2017
10 Reads

Ultrasonography of the Transverse Movement and Deformation of the Median Nerve and Its Relationships With Electrophysiological Severity in the Early Stages of Carpal Tunnel Syndrome.

Authors:
Donghwi Park

PM R 2017 Nov 19;9(11):1085-1094. Epub 2017 Apr 19.

Department of Rehabilitation Medicine, Daegu Fatima Hospital, Ayangro 99, Dong gu, Daegu 41199, Republic of Korea; Department of Pharmacology, Kyungpook National University School of Medicine, Daegu, Republic of Korea(∗). Electronic address:

Background: To date, there have been conflicting suggestions regarding the initial pathogenesis of carpal tunnel syndrome (CTS). It has been characterized as either inflammation of the median nerve caused by compression or noninflammatory fibrosis of the subsynovial connective tissue (SSCT).

Objective: To investigate the initial pathogenesis of CTS, we compared the deformation and displacement of the median nerve in accordance with the electrophysiological severity between patients with CTS (via the Bland scale) and healthy controls. Read More

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http://dx.doi.org/10.1016/j.pmrj.2017.03.015DOI Listing
November 2017
8 Reads

Acute Radial Neuropathy at the Spiral Groove Following Massage: A Case Presentation.

PM R 2017 Oct 9;9(10):1042-1046. Epub 2017 Apr 9.

Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Section 2, Taipei, 11217 Taiwan(§). Electronic address:

Massage-related nerve injury is an uncommon, rarely reported complication. We report an unusual case of radial nerve neuropathy at the spiral groove in a 58-year-old woman that resulted from a single episode of deep tissue massage. Although the spiral groove is known as the most common site implicated in radial nerve neuropathy, to our knowledge, there have not previously been any reports of massage-related spiral groove radial nerve neuropathy. Read More

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http://dx.doi.org/10.1016/j.pmrj.2017.03.010DOI Listing
October 2017
4 Reads

Long-term neuromuscular outcomes of west nile virus infection: A clinical and electromyographic evaluation of patients with a history of infection.

Muscle Nerve 2018 Jan 17;57(1):77-82. Epub 2017 Jun 17.

Department of Pediatrics, Section of Pediatric Tropical Medicine, National School of Tropical Medicine, Baylor College of Medicine and Texas Children's Hospital, One Baylor Plaza, BCM 320, Houston, Texas, 77030, USA.

Introduction: Neuromuscular clinical manifestations during acute West Nile virus (WNV) infection are well documented; however, long-term neurologic outcomes still require investigation.

Methods: We conducted a long-term follow-up study in patients with history of WNV infection. Of the 117 patients who participated in neurologic and neurocognitive evaluations, 30 were referred for neuromuscular and electrodiagnostic evaluation based on abnormal findings. Read More

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http://dx.doi.org/10.1002/mus.25660DOI Listing
January 2018
11 Reads

Electrophysiologic and Ultrasonographic Assessment of Carpal Tunnel Syndrome in Wheelchair Basketball Athletes.

Ann Rehabil Med 2017 Feb 28;41(1):58-65. Epub 2017 Feb 28.

Department of Physical Medicine & Rehabilitation, College of Medicine, Korea University, Seoul, Korea.

Objective: To investigate the contributing factors of carpal tunnel syndrome (CTS), electrodiagnostic and ultrasonographic findings of median nerve, and median nerve change after exercise in wheelchair basketball (WCB) players.

Methods: Fifteen WCB players with manual wheelchairs were enrolled in the study. Medical history of the subjects was taken. Read More

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http://dx.doi.org/10.5535/arm.2017.41.1.58DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5344827PMC
February 2017
13 Reads

The Accuracy of the Scratch Collapse Test Performed by Blinded Examiners on Patients With Suspected Carpal Tunnel Syndrome Assessed by Electrodiagnostic Studies.

J Hand Surg Am 2017 May 8;42(5):386.e1-386.e5. Epub 2017 Mar 8.

Department of Orthopaedic Surgery, Sidney Kimmel School of Medicine, Thomas Jefferson University, Philadelphia, PA. Electronic address:

Purpose: A diagnostic maneuver known as the "scratch-collapse test" (SCT), to aid in the diagnosis of compressive upper limb neuropathies such as carpal tunnel syndrome (CTS), has been described. There is a wide variability in the sensitivity and specificity values reported to date, and the reason for this discrepancy is unclear. The purpose of this study was to evaluate the utility of the SCT performed by examiners blinded to the meaning of the examination. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.01.031DOI Listing
May 2017
83 Reads

Head drop after botox: Electrodiagnostic evaluation of iatrogenic botulinum toxicity.

Clin Neurol Neurosurg 2017 May 6;156:1-3. Epub 2017 Mar 6.

Department of Neurology, Wake Forest School of Medicine, 1 Medical Center Boulevard, Winston Salem, NC 27157, USA. Electronic address:

Background: Botulinum is a potent neurotoxin with increasing indications for neurologic disorders. While clinical benefit manifests primarily due to local actions at the neuromuscular junction, regional and systemic effects do occur. Rarely, systemic symptoms including weakness, dysarthria, dysphagia and other side effects occur as a result of iatrogenic botulinum neurotoxicity. Read More

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http://dx.doi.org/10.1016/j.clineuro.2017.02.012DOI Listing
May 2017
14 Reads

The nearly invisible intraneural cyst: a new and emerging part of the spectrum.

Neurosurg Focus 2017 Mar;42(3):E10

Departments of 1 Neurosurgery.

OBJECTIVE The authors have observed that a subset of patients referred for evaluation of peroneal neuropathy with "negative" findings on MRI of the knee have subtle evidence of a peroneal intraneural ganglion cyst on subsequent closer inspection. The objective of this study was to introduce the nearly invisible peroneal intraneural ganglion cyst and provide illustrative cases. The authors further wanted to identify clues to the presence of a nearly invisible cyst. Read More

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http://dx.doi.org/10.3171/2016.12.FOCUS16439DOI Listing
March 2017
24 Reads

Is carpal tunnel syndrome present in acute stroke patients? An investigative study using clinical and imaging screening tools.

J Clin Neurosci 2017 May 10;39:111-113. Epub 2017 Feb 10.

Department of Neurology, Duke University Hospital, Durham, NC, USA.

Carpal tunnel syndrome (CTS) is known to develop post-stroke. Median nerve ultrasound (US) is an inexpensive, effective means of screening. In this prospective feasibility study, we compared the ability of the physical exam, the Boston Carpal Tunnel Questionnaire (BCTQ) and median nerve US to screen for carpal tunnel syndrome (CTS) within 72hours of stroke onset. Read More

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http://dx.doi.org/10.1016/j.jocn.2017.01.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453114PMC
May 2017
14 Reads

Diagnostics and Ancillary Tests of Neurologic Dysfunction in the Ruminant.

Authors:
Dusty W Nagy

Vet Clin North Am Food Anim Pract 2017 Mar;33(1):9-18

Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, 900 East Campus Drive, Columbia, MO 65211, USA. Electronic address:

A variety of diagnostic tests can be used to help further characterize and diagnose neurologic disease in ruminant species. Cerebrospinal fluid is easily collected, and analysis can help in defining the broad category of disease. Diagnostic imaging, including radiography, myelography, ultrasonography, computed tomography, and MRI, have all been used to varying degrees in ruminants. Read More

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http://dx.doi.org/10.1016/j.cvfa.2016.09.002DOI Listing
March 2017
8 Reads

Ultrasound-Guided Diagnosis and Injection of the Lateral Femoral Cutaneous Nerve with an Anatomical Variation.

Pain Pract 2017 11 25;17(8):1105-1108. Epub 2017 Feb 25.

Department of Physical Medicine and Rehabilitation, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Meralgia paresthetica (MP) is an entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN). There are many variations in the course of the LFCN. A 55-year-old woman presented with pain and tingling sensations on the anterolateral aspect of her left thigh. Read More

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http://dx.doi.org/10.1111/papr.12559DOI Listing
November 2017
24 Reads

Carpal Tunnel Syndrome: Diagnosis and Management.

Am Fam Physician 2016 Dec;94(12):993-999

Via Christi Family Medicine Residency, University of Kansas School of Medicine-Wichita, Wichita, KS, USA.

Carpal tunnel syndrome, the most common entrapment neuropathy of the upper extremity, is caused by compression of the median nerve as it travels through the carpal tunnel. Classically, patients with the condition experience pain and paresthesias in the distribution of the median nerve, which includes the palmar aspect of the thumb, index and middle fingers, and radial half of the ring finger. Additional clues include positive physical examination findings, such as the flick sign, Phalen maneuver, and median nerve compression test. Read More

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December 2016
21 Reads

Neuromuscular ultrasound for evaluation of scapular winging.

Muscle Nerve 2017 07 17;56(1):7-14. Epub 2017 Mar 17.

Department of Neurology, Wake Forest School of Medicine, Main Floor Reynolds Tower, Winston-Salem, North Carolina, 27157, USA.

Introduction: Clinicians who treat nerve and muscle disorders may be asked to evaluate patients who have unilateral or bilateral scapular winging. Traditionally, this evaluation has relied upon a thorough history, physical examination, and electrodiagnostic testing to localize the cause of winging and detect the underlying neuromuscular pathology. Neuromuscular ultrasound has emerged as a non-invasive technique that can be used for structural evaluation of nerve and muscle abnormalities. Read More

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http://doi.wiley.com/10.1002/mus.25533
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http://dx.doi.org/10.1002/mus.25533DOI Listing
July 2017
11 Reads

Referred symptom from myofascial pain syndrome: One of the most important causes of sensory disturbance in breast cancer patients using taxanes.

Eur J Cancer Care (Engl) 2017 Nov 22;26(6). Epub 2016 Dec 22.

Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

The aim of this retrospective study was to evaluate common causes of upper extremity sensory disturbance in breast cancer patients. Breast cancer patients who received surgery and taxane chemotherapy (CTx) with upper extremity sensory disturbance that began after CTx were included. With comprehensive clinical history, physical examination and electrodiagnostic results, diagnosis for each patient was made. Read More

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http://dx.doi.org/10.1111/ecc.12615DOI Listing
November 2017
17 Reads