McLean EMG Guide

305 Pages·2019·3.484 MB·English

by  Samuel K. Chu, Prakash Jayabalan, Christopher J. Visco

An Imprint of Springer Publishing
McLean
EMG
GUIDE

SECOND EDITION
Samuel K. Chu
Prakash Jayabalan
Christopher J. Visco
McLean EMG Guide
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McLean EMG Guide
Second Edition
Editors
Samuel K. Chu, MD
Assistant Professor
Northwestern Feinberg School of Medicine
Attending Physician
Shirley Ryan AbilityLab
Chicago, Illinois
Prakash Jayabalan, MD, PhD
Assistant Professor
Northwestern Feinberg School of Medicine
Attending Physician Scientist
Shirley Ryan AbilityLab
Chicago, Illinois
Christopher J. Visco, MD
Ursula Corning Associate Professor
Sports Medicine Fellowship Director
Residency Program Director
Vice-Chair of Education
Department of Rehabilitation and Regenerative Medicine
Columbia University College of Physicians and Surgeons
New York-Presbyterian Hospital
New York, New York
An Imprint of Springer Publishing
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ISBN: 978-0-8261-7212-9
ebook ISBN: 978-0-8261-7213-6
DOI: 1 0.1891/9780826172136
Acquisitions Editor: Beth Barry
Compositor: S4Carlisle Publishing Services
Copyright © 2019 Springer Publishing Company.
Demos Medical Publishing is an imprint of Springer Publishing Company, LLC.
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M edicine is an ever-changing science. Research and clinical experience are continually expanding our
knowledge, in particular our understanding of proper treatment and drug therapy. The authors, editors,
and publisher have made every effort to ensure that all information in this book is in accordance with the
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Library of Congress Cataloging-in-Publication Data
Names: Chu, Samuel K., editor. | Jayabalan, Prakash, editor. | Visco,
Christopher J., editor.
Title: McLean EMG guide / [edited by] Samuel K. Chu, Prakash Jayabalan,
Christopher J. Visco.
Other titles: McLean course in electrodiagnostic medicine | EMG guide
Description: Second edition. | New York : Demos Medical, [2019] | Preceded by
McLean course in electrodiagnostic medicine / [edited by] Christopher J.
Visco, Gary P. Chimes. c2011. | Includes bibliographical references and
index.
Identifiers: LCCN 2019002642 (print) | LCCN 2019003919 (ebook) | ISBN
9780826172136 | ISBN 9780826172129 (alk. paper) | ISBN 9780826172136
(ebook)
Subjects: | MESH: Electrodiagnosis–methods | Neuromuscular
Diseases–diagnosis
Classification: LCC RC77 (ebook) | LCC RC77 (print) | NLM WB 141 | DDC
616.07/547–dc23
LC record available at https://lccn.loc.gov/2019002642
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Publisher’s Note: New and used products purchased from third-party sellers are not guaranteed for
quality, authenticity, or access to any included digital components.
Printed in the United States of America.
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This book is dedicated to Jim,
may his memory live on.
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Contents
Contributors xi
Preface xvii
Share MCLean EMG Guide
SECTION I. INTRODUCTION
1. Introduction to Electrodiagnostics 3
Gautam Malhotra
2. Instrumentation 9
Gautam Malhotra
3. Systematic Approach to Learning and Performing Nerve
Conduction Studies 13
Gautam Malhotra, Jason Bitterman, and Chae K. Im
SECTION II. NERVE CONDUCTION STUDIES
4. Upper Limb Motor Studies 23
Matthew C. Oswald and Khushboo Doshi
5. Upper Limb Sensory Studies 29
Byron J. Schneider and David J. Kennedy
6. Lower Limb Motor Studies 37
Berdale Colorado
7. Lower Limb Sensory Studies 41
Jacqueline Neal and Nida Gleveckas-Martens
8. F-Waves 55
Solomon Rojhani and Akhil Chhatre
9. H-Refl exes 61
Leslie Rydberg
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viii | Contents
SECTION III. NEEDLE EMG
10. Basic EMG Technique 67
Christian M. Custodio
11. Basic Approach to EMG Waveform Recognition 73
Gautam Malhotra and Chae K. Im
12. Motor Unit Action Potential Analysis 81
Anirudh Gupta, Kasser Saba, and W. David Arnold
13. Recruitment 87
Monal Desai and W. David Arnold
SECTION IV. IMPORTANT CONCEPTS FOR INTERPRETING STUDIES
14. Orthodromic and Antidromic Nerve Conduction Studies 97
Daniel A. Goodman
15. Temporal Dispersion and Phase Cancellation 101
Mary Ann Miknevich and Jenna Meriggi
16. Interpreting Studies 107
Joelle Gabet and Wendy M. Helkowski
17. Common Anomalies 115
Nabela Enam and Nigel Shenoy
SECTION V. COMMON CLINICAL ENTITIES
18. Carpal Tunnel Syndrome 127
Leslie Rydberg
19. Ulnar Neuropathy at the Elbow 135
Akinpelumi Beckley and Susie S. Kwon
20. Radial Neuropathy 143
Jonathan S. Kirschner and Carlo Milani
21. Anterior Interosseous Nerve Lesions 153
Patrick J. Barrett
22. Fibular (Peroneal) Neuropathy 159
Rohini Sweta Rao and Aaron Jay Yang
23. Tibial Neuropathy 169
Brian F. White
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Contents | ix
24. Femoral Neuropathy 177
Dan Cushman
25. Lumbosacral Radiculopathy 185
Nathan P. Olafsen and Daniel T. Probst
26. Cervical Radiculopathy 195
Ryan Doyel and Monica E. Rho
27. Facial Nerve and Blink Studies 203
Kevin Carneiro and William Filer
28. Repetitive Stimulation and Neuromuscular Junction Disorders 211
Trevor Gessel and Nassim Rad
29. Peripheral Neuropathy 217
Michael Mallow
30. Brachial Plexopathy 221
Christopher J. Visco and Idris Amin
31. Motor Neuron Disease 231
Dena Abdelshahed, Ankita Dutta, Chae K. Im, and James F. Wyss
32. Myopathy 239
Gautam Malhotra
33. The Use of Ultrasound With Electrodiagnosis 245
Jeffrey A. Strakowski
SECTION VI. CHECKLISTS AND ANSWERS
34. Checklists 255
35. Answers to Multiple-Choice Questions 263
Index 281
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