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 his...

(1) Background: Carpal tunnel syndrome (CTS), a compressive mononeuropathy of the median nerve at wrist, is rare in childhood and occurs most frequently due to secondary causes. (2) Methods: Medical history, electrodiagnostic findings, imaging data patients with CTS from two pediatric neuromuscular centers were analyzed retrospectively. The etiology was investigated compared literature. (3) Res...

A 25-year-old man with acute, bilateral facial palsies is presented. He had a lymphocytic meningitis, history of tick bites, and lived in an area endemic for Lyme disease, which was ultimately confirmed by serology. Electrodiagnostic investigation included facial motor nerve study, blink reflex and electromyography of facial muscles, which were indicative of a neurapraxic lesion on the right an...

Schwannoma is an encapsulated nerve sheath tumor that is distinct from neurofibromatosis. It is defined as the occurrence of multiple schwannomas without any bilateral vestibular schwannomas. A 46-year-old man with multiple schwannomas involving peripheral nerves of the ipsilateral lower extremity presented with neurologic symptoms. Electrodiagnostic studies revealed multiple mononeuropathies i...

Electrodiagnosis of subclinical diabetic neuropathies by nerve conduction studies remains challenging. The question arises about which nerves should be tested and what the best electrodiagnostic protocol to make an early diagnosis of diabetic neuropathies would be. On the basis of our findings and other evidence, which highlighted the remarkable prevalence of electrophysiological abnormalities ...

BACKGROUND Lumbar disc herniation is a problem frequently encountered in manual medicine. While manual therapy has shown reasonable success in symptomatic management of these cases, little information is known how manual therapy may affect the structure and function of the lumbar disc itself. In cases where lumbar disc herniation is accompanied by radicular symptoms, electrodiagnostic testing h...

A patient with bilateral cubital syndrome complicated by anomalous innervation is presented. The electrodiagnostic approach to patients with this neuropathy is reviewed emphasizing new developments. The interpretation of the findings in this patient centers around issues of pathophysiology and methodology.

The American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) is concerned about an emerging pattern among some payors to deny reimbursement of evaluation and management (E/M) codes to physicians who also bill an electrodiagnostic medicine code (e.g., 95886, 95900) on the same day. This practice is not appropriate. There are many patient-physician interactions that clearly requ...

and Management of Carpal Tunnel Syndrome To the Editor: The May/June guest editorial1 raised several issues regarding the use of electrodiagnostic testing in the diagnosis and management of carpal tunnel syndrome. In this guest editorial, Dr Fowler expressed concerns regarding the sensitivity and specificity of electrodiagnostic testing in carpal tunnel syndrome, the benefit of confirmatory ele...

The objective of this report was to develop a case definition of distal symmetric polyneuropathy to standardize and facilitate clinical research and epidemiologic studies. A formalized consensus process was employed to reach agreement after a systematic review and classification of evidence from the literature. The literature indicates that symptoms alone have relatively poor diagnostic accurac...