Emg Lesion Localization And Characterization

EMG Lesion Localization and Characterization: A Case Studies Approach takes a unique approach to electrodiagnostic (EDX) medicine, using case studies and exercises to teach clinical reasoning and build technical skills. The first section presents basic principles, reviewing pertinent nerve and muscle anatomy, physiology, and pathophysiology along with study techniques, measurements, and pitfalls. The second section emphasizes how to most effectively utilize the book’s featured case studies, followed by 60 cases covering the range of disorders encountered in the EMG lab and organized by regional and multiregional disorders of the upper and lower extremities, brachial plexopathies, generalized disorders, and challenging cases. Through the EDX case studies, lesion localization and characterization are demonstrated and discussed step-by-step using a floating text box that tracks the findings for each case. Cases begin with the clinical features, which dictate the initial EDX studies performed. The results of those studies drive the next round of testing, which continues until the abnormality has been localized and characterized and a diagnosis is made. In this manner, the dynamic nature of electrodiagnostic testing and process of sequential study analysis is reinforced, just as it would be in the EMG laboratory. Authored by two leading experts in neurology and electrodiagnostic medicine, all aspects of lesion localization and characterization are extensively covered, including calculations of lesion severity for demyelinating conduction block and axon loss lesions and calculations of various types of motor unit action potential recruitment frequencies. The book features a large number of anatomical drawings, charts, and EDX images in order to illustrate the skills of lesion localization and characterization comprehensively. By conveying the “cognitive approach” to EDX medicine, EMG Lesion Localization and Characterization merges clinical knowledge with real-life cases to better instruct residents, fellows, technicians, and neuromuscular providers in the field of electrodiagnostic medicine. Key Features: Includes 60 cases covering all major neuromuscular disorders Presents basic and advanced anatomic, physiologic, pathophysiologic, and temporal principles and concepts pertinent to EDX medicine EDX studies are evaluated as they are collected, providing insight into the principles underlying electrodiagnostic medicine Through sequential step-by-step analysis of findings, the decision-making process required in the EMG laboratory is simulated Purchase includes access to the ebook for use on most mobile devices or computers

Dr. Ferrante, in this textbook, conveys the principles and concepts necessary for the optimal performance and interpretation of EDX studies. Neuromuscular anatomy, physiology, pathophysiology, electronics, EMG instrumentation and electrical safety are covered in the first section of the book. The next series of chapters cover what we measure and how the various disorders affect these measurements. The thirds section shows how the information contained in the first two sections is applied to the clinical arena and includes chapters addressing the assessment of lesion severity and prognostication, the expected EDX manifestations of lesions at various levels of the nervous system, and a series of EMG cases illustrating our approach to lesion localization and characterization. The appendices contain neuromuscular information pertinent the EDX consultation. 239 pages.

An introductory and advanced reference for electromyography (EMG), explaining anatomic, physiologic, pathologic, and electrical concepts necessary to use EMG.

This atlas serves as a comprehensive working reference for a wide range of clinicians practicing in the field of clinical neurophysiology, including adult and pediatric neurologists, epileptologists, neurocritical care specialists, and electroneurodiagnostic technologists. Covering EEG, EMG, MEG, evoked potentials, sleep and autonomic studies, and ICU, critical care, and intraoperative monitoring, expert authors share examples of common and novel artifacts and highlight signature features to help practitioners recognize patterns and make accurate distinctions. This visual compendium of information in atlas format addresses the artifact in all areas of clinical neurophysiology and highlights the traps and pitfalls that can taint studies and lead to misdiagnosis if not properly identified. Atlas of Artifacts in Clinical Neurophysiology provides full-page examples of waveforms and recordings to enhance appreciation of the nuances involved in distinguishing artifacts from neurological findings that require intervention. With the most up-to-date information available on artifacts present during procedures in both adult and pediatric patients, this book provides readers with an in-depth understanding of artifact interpretation that is essential to any clinician working in the field of clinical neurophysiology given the ubiquitous nature of artifact during electrophysiological recording. Key Features: The only dedicated reference on artifacts in all areas of clinical neurophysiologic testing Large-format examples of both common and unusual artifacts encountered in each procedure category Up-to-date text in each chapter provides greater depth of explanation Draws on the expertise and clinical wisdom of leading practitioners to develop mastery in recognizing artifacts and avoiding diagnostic pitfalls Includes access to the digital ebook and 19 videos

Motor System Disorders: Normal Physiology and Function and Neuromuscular Disorders summarizes recent advances and best practice for understanding normal physiology and function of the larger motor system as well as the diagnosis, course, and treatment of neuromuscular disorders. The work will include neuroanatomy, circuits and synapses. It discusses how different parts of the brain contribute to motor control, including both vestibular and cerebellar motor control, as well as the influences of the parietal and frontal lobes. Diagnostic methods include genetic evaluation, electrodiagnosis, pathology, and brain imaging. Neuromuscular disorders of both children and adults will be included. Identifies normal motor control physiology and function, including neuroanatomy, circuits, and synapses Discusses vestibular and cerebral motor control and contributions of parietal and frontal lobes Provides diagnostic methods, including genetic evaluation, electrodiagnosis, brain imaging, and pathology analyses Summarizes the diagnosis, course, and best practice treatment of neuromuscular disorders Explores neuromuscular disorders in adults and children

Revised, updated, and expanded second edition of the premier learning guide for residents, McLean EMG Guide emphasizes skills and concepts required for success in mastering basic electrodiagnostic techniques. This step-by-step approach to performing and interpreting EMG and nerve conduction studies will prepare trainees, fellows, and attendings to meet the challenges encountered in daily practice with confidence. The book is broken into short formatted chapters covering instrumentation, basic nerve conduction and needle EMG techniques, interpretation, applications for common clinical problems, and a new chapter on ultrasound. The procedures are laid out as illustrated tables with specifics for lead placement, stimulation, sample waveforms, and photographs to guide electrodiagnostic set-ups. Clinical presentation, anatomy, recommended studies, normal values, pearls and tips, and key findings are presented throughout in bulleted text for a thorough, more focused guidebook. Multiple choice questions and answers with rationales reinforce learning for those wishing to review concepts through self-guided assessment. Key Features Updates to all chapters with new figures and diagrams and more multiple-choice questions with answers Brand new chapter on the use of ultrasound with electrodiagnosis Checklists with key steps and takeaways for each study Clear, easy-to-understand tables and photos illustrate each set-up and study Codifies what you need to know to make a diagnosis in the EMG laboratory Print purchase includes on-line access to the full contents for mobile or desktop use

This title in the popular Pearls Series focuses on electrodiagnostic studies of neuromuscular diseases. EMGs and their interpretation are a major component of the specialty of physical medicine and rehab physicians, and they are important to neurologists and electromyographers. For each case, patient information is presented, the EMG findings are discussed, and the reader is asked to make a diagnosis based on these findings. The next page reveals the diagnosis, discussed the case and the medical condition in question, and then presents 3-4 pearls of practice distilled from the case. Pearls books feature real patient cases, providing information not found in standard texts Each case follows the same format for clarity and ease of presentation Provides information about the specific patient as well overall information on each disorder discussed. The text is interactive as the reader is asked make a diagnosis based on the case information presented Illustrations are provided for most of the cases Three or four "pearls of practice" are distilled for each case.

Now in its 4th edition, Physical Medicine and Rehabilitation Pocketpedia remains a treasured and trusted quick-reference tool in the field of physical medicine and rehabilitation. Everyone from the busy physiatrist making rounds in the clinic to the medical student rotating through a PM&R clerkship will find evidence-based knowledge and practical guidance essential to their needs in this handy resource. Thoroughly updated, reorganized, and revised from the last edition, the book covers the core topics and field-tested methods in PM&R while also addressing the latest advances in treatment and protocols for bedside decision-making. It includes new information on complex medical care, an increased focus on topics related to disability, expanded coverage of musculoskeletal rehabilitation, and new chapters on current issues such as COVID-19 rehabilitation. Pocketpedia is small enough to fit in your pocket while containing an incredibly large wealth of information—fortified with helpful graphics, charts, illustrations and clinical tips that enhance understanding and promote positive patient outcomes. Key Features: PM&R in your pocket—perfect for rounding or concise review Distills the practical essentials with focused coverage of core topics 7 new chapters address growth areas and showcase the breadth of expertise in PM&R New organization for easier navigation