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Electromyography and Neuromuscular Disorders
Clinical-Electrophysiologic-Ultrasound Correlations
- 4th Edition - March 20, 2020
- Authors: David C. Preston, Barbara E. Shapiro
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 6 1 8 0 - 5
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 8 3 0 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 8 2 9 - 1
Successfully correlate electrodiagnostic findings and neuromuscular ultrasound with key clinical findings with Electromyography and Neuromuscular Disorders, 4th Edition. Thi… Read more
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Request a sales quoteSuccessfully correlate electrodiagnostic findings and neuromuscular ultrasound with key clinical findings with Electromyography and Neuromuscular Disorders, 4th Edition. This popular text is the go-to resource for clinicians at all levels of experience who have an interest in neuromuscular medicine, including those studying for the AANEM board exam. An easy-to-read writing style, abundant case studies, and online videos help you master the electrodiagnostic evaluation and improve safety and accuracy.
- Helps you diagnose neuromuscular disorders more quickly and accurately, and correlate electromyographic and clinical findings.
- Explains complex subject matter in an easy-to-understand, user-friendly manner.
- Includes dozens of detailed, cross-sectional anatomy drawings to ensure correct EMG needle placement and avoid neurovascular injuries.
- Features new chapters on Neuromuscular Ultrasound, as well as incorporating neuromuscular ultrasound in the evaluation of clinical neuromuscular disorders along with electrodiagnostic studies in many of the clinical chapters.
- Provides up-to-date information on iatrogenic complications of electrodiagnostic studies and newly defined genetic neuromuscular conditions.
- Includes online access to more than 70 videos that allow you to see and hear the EMG waveforms discussed in the text.
- Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Neurologists with an interest in neuromuscular disorders, Clinical Neurophysiologists – now tend to specialize in either EMG or EEG, but you still have to know both to pass the certifying exam.
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Copyright
- Foreword
- Preface to the Fourth Edition
- Preface to the Third Edition
- Preface to the Second Edition
- Preface to the First Edition
- Dedication
- Acknowledgments
- Section I. Overview of Nerve Conduction Studies and Electromyography
- 1. Approach to Nerve Conduction Studies, Electromyography, and Neuromuscular Ultrasound
- Localization of the Disorder is the Major aim of the Electrodiagnostic Study
- Patient Encounter
- Cardinal Rules of Nerve Conduction Studies and Electromyography
- Neuromuscular Ultrasound
- Cardinal Rules of Neuromuscular Ultrasound
- 2. Anatomy and Neurophysiology for Electrodiagnostic Studies
- Anatomy
- Physiology
- Classification
- Recording
- Section II. Fundamentals of Nerve Conduction Studies
- 3. Basic Nerve Conduction Studies
- Motor Conduction Studies
- Sensory Conduction Studies
- Mixed Conduction Studies
- Principles of Stimulation
- Important Basic Patterns
- 4. Late Responses
- F Response
- H Reflex
- Axon Reflex
- 5. Blink Reflex
- Anatomy
- Blink Reflex Procedure
- Patterns of Abnormalities
- 6. Repetitive Nerve Stimulation
- Normal Neuromuscular Junction Physiology
- Physiologic Modeling of Repetitive Nerve Stimulation
- Repetitive Nerve Stimulation in the Electromyography Laboratory
- Section III. Electrodiagnostic Sources of Error: Anomalies, Artifacts, Technical Factors, and Statistics
- 7. Anomalous Innervations
- Martin-Gruber Anastomosis
- Accessory Peroneal Nerve
- 8. Artifacts and Technical Factors
- Physiologic Factors
- Nonphysiologic Factors
- 9. Basic Statistics for Electrodiagnostic Studies
- Bayes’ Theorem and the Predictive Value of A Positive Test
- Likelihood Ratios
- Multiple Tests and the Increasing Risk of False Positives
- Section IV. Detailed Nerve Conduction Studies
- 10. Routine Upper Extremity, Facial, and Phrenic Nerve Conduction Techniques
- Median Motor Study (Fig. 10.1)
- Median Motor Palmar Study (Fig. 10.2)
- Median Sensory Study (Fig. 10.3)
- Median Sensory Palmar Study (Fig. 10.4)
- Ulnar Motor Study (Fig. 10.5)
- Ulnar Sensory Study (Fig. 10.6)
- Dorsal Ulnar Cutaneous Sensory Study (Fig. 10.7)
- Deep Ulnar Motor Branch Study (Fig. 10.8)
- Median Versus Ulnar-Lumbrical-Interossei Motor Studies (Fig. 10.9)
- Median Versus Ulnar—Digit 4 Sensory Studies (Fig. 10.10)
- Median Versus Radial—Digit 1 Sensory Studies (Fig. 10.11)
- Median Versus Ulnar—Palmar Mixed Nerve Studies
- Radial Motor Study (Fig. 10.13)
- Radial Sensory Study (Fig. 10.14)
- Medial Antebrachial Cutaneous Sensory Study (Fig. 10.15)
- Lateral Antebrachial Cutaneous Sensory Study (Fig. 10.16)
- Upper Extremity Proximal Stimulation Studies (Fig. 10.17)
- Phrenic Motor Study (Fig. 10.18)
- Facial Motor Study (Fig. 10.19)
- Facial Motor Branch Study (Fig. 10.20)
- Blink Reflex (Trigeminal and Facial Nerves) (Fig. 10.21)
- Nerve Conduction Studies: Normal Adult Values
- 11. Routine Lower Extremity Nerve Conduction Techniques
- Tibial Motor Study (Fig. 11.1)
- Peroneal Motor Study (Fig. 11.2)
- Peroneal Motor Study (Fig. 11.3)
- Femoral Motor Study (Fig. 11.4)
- Superficial Peroneal Sensory Study (Fig. 11.5)
- Sural Sensory Study (Fig. 11.6)
- Saphenous Sensory Study (Fig. 11.7)
- Lateral Femoral Cutaneous Sensory Study (Fig. 11.8)
- Medial and Lateral Plantar Motor Studies (Fig. 11.9)
- Medial and Lateral Plantar Sensory Studies (Fig. 11.10)
- Medial and Lateral Plantar Mixed Nerve Studies (Fig. 11.11)
- Soleus H Reflex Study (Fig. 11.12)
- Nerve Conduction Studies of the Lower Extremity: Normal Adult Values
- Section V. Fundamentals of Needle Electromyography
- 12. Basic Overview of Electromyography
- Equipment
- Patient Preparation
- Typical Needle Emg Examination (Box 12.1)
- 13. Anatomy for Needle Electromyography
- Upper Extremity
- Ulnar Nerve
- Radial Nerve
- Musculocutaneous Nerve
- Pectoral Nerves
- Axillary Nerve
- Spinal Accessory Nerve
- Suprascapular Nerve
- Dorsal Scapular Nerve
- Thoracodorsal Nerve
- Long Thoracic Nerve
- Lower Extremity
- Tibial Nerve
- Sciatic Nerve (Note that All Peroneal- and Tibial-Innervated Muscles also are Sciatic Innervated)
- Obturator Nerve
- Femoral Nerve
- Superior Gluteal Nerve
- Inferior Gluteal Nerve
- Dorsal Rami
- Craniobulbar Muscles
- 14. Basic Electromyography: Analysis of Spontaneous Activity
- Analysis of Spontaneous Activity
- Insertional Activity
- Spontaneous Activity: Normal
- Spontaneous Activity: Abnormal Muscle Fiber Potentials
- Spontaneous Activity: Abnormal Motor Unit Potentials
- 15. Basic Electromyography: Analysis of Motor Unit Action Potentials
- Physiology
- Morphology
- Stability
- Firing Pattern (Activation, Recruitment, Interference Pattern)
- Patterns of Motor Unit Abnormalities
- Section VI. Clinical–Electrophysiologic Correlations
- 16. Clinical–Electrophysiologic Correlations: Overview and Common Patterns
- Neuropathic Lesions
- Important Neuropathic Patterns
- Myopathic Lesions
- Neuromuscular Junction Lesions
- Central Nervous System Lesions
- Clinical Syndromes
- Other Important Localization Patterns
- Section VII. Fundamentals of Neuromuscular Ultrasound
- 17. Fundamentals of Neuromuscular Ultrasound
- Neuromuscular Ultrasound History
- Basic Physics of Ultrasound
- Probes
- Optimizing the Image
- Common Tissue Patterns
- Common “Artifacts”
- Ultrasound Limitations
- 18. Neuromuscular Ultrasound of Mononeuropathies
- Appearance of Normal Nerve
- Scanning a Peripheral Nerve
- Important Structural Abnormalities to Recognize
- 19. Neuromuscular Ultrasound of Polyneuropathy, Motor Neuron Disease, and Myopathy
- Polyneuropathy
- Demyelinating Polyneuropathies
- Diabetic Polyneuropathy
- Other Polyneuropathies with Ultrasound Changes
- Motor Neuron Disease
- Myopathy
- Clinical Disorders
- Part I. Common Mononeuropathies
- 20. Median Neuropathy at the Wrist
- Anatomy
- Clinical
- Etiology
- Differential Diagnosis
- Electrophysiologic Evaluation
- Ultrasound Correlations
- Common Anomalies
- Example Cases
- 21. Proximal Median Neuropathy
- Detailed Anatomy at the Antecubital Fossa
- Etiology
- Clinical
- Traumatic Lesions
- Entrapment Syndromes
- Anterior Interosseous Nerve Syndrome
- Differential Diagnosis
- Electrophysiologic Evaluation
- Ultrasound Correlations
- Example Cases
- 22. Ulnar Neuropathy at the Elbow
- Anatomy
- Detailed Anatomy at the Elbow
- Etiology
- Clinical
- Differential Diagnosis
- Electrophysiologic Evaluation
- Ultrasound Correlations
- Example Cases
- 23. Ulnar Neuropathy at the Wrist
- Anatomy
- Clinical
- Etiology
- Differential Diagnosis
- Electrophysiologic Evaluation
- Ultrasound Correlations
- Example Case
- 24. Radial Neuropathy
- Anatomy
- Clinical
- Differential Diagnosis
- Electrophysiologic Evaluation
- Ultrasound Correlations
- 25. Peroneal Neuropathy
- Anatomy
- Clinical
- Etiology
- Electrophysiologic Evaluation
- Ultrasound Correlations
- 26. Femoral Neuropathy
- Anatomy
- Clinical
- Etiology
- Differential Diagnosis
- Electrophysiologic Evaluation
- Ultrasound Correlations
- 27. Tarsal Tunnel Syndrome
- Anatomy
- Clinical
- Etiology
- Differential Diagnosis
- Electrophysiologic Evaluation
- Ultrasound Correlations
- 28. Facial and Trigeminal Neuropathy
- Anatomy
- Clinical
- Electrophysiologic Evaluation
- Part II. Polyneuropathy
- 29. Polyneuropathy
- Clinical
- Axonal Polyneuropathy
- Borderline Cases: Differentiation Between Axonal and Demyelinative Slowing
- Demyelinating Polyneuropathy
- Electrophysiologic Evaluation of Polyneuropathy
- Ultrasound Correlations
- Part III. Motor Neuron Disease
- 30. Amyotrophic Lateral Sclerosis and Its Variants
- Clinical
- Etiology
- Differential Diagnosis
- Electrophysiologic Evaluation
- Ultrasound Correlations
- 31. Atypical and Inherited Motor Neuron Disorders
- Infectious Motor Neuron Disorders
- Inherited Motor Neuron Disorders
- Other Atypical Motor Neuron Disorders
- Electrophysiologic Evaluation
- Part IV. Radiculopathy, Plexopathies, and Proximal Neuropathies
- 32. Radiculopathy
- Clinical
- Etiology
- Differential Diagnosis
- Electrophysiologic Evaluation
- Time Course in Radiculopathy
- Aberrant Reinnervation and the “Breathing Arm”
- Limitations of the Needle Electromyographic Study in Radiculopathy
- 33. Brachial Plexopathy
- Anatomy
- Clinical
- Etiology
- Electrophysiologic Evaluation
- Common Electrophysiologic Patterns of Brachial Plexopathy
- Ultrasound Correlations
- 34. Proximal Neuropathies of the Shoulder and Arm
- Suprascapular Neuropathy
- Axillary Neuropathy
- Musculocutaneous Neuropathy
- Long Thoracic Neuropathy
- Spinal Accessory Neuropathy
- Ultrasound Correlations
- 35. Lumbosacral Plexopathy
- Anatomy
- Clinical
- Etiology
- Common Lumbosacral Plexopathies
- Ultrasound Correlations
- 36. Sciatic Neuropathy
- Anatomy
- Clinical
- Etiology
- Electrophysiologic Evaluation
- Ultrasound Correlations
- Part V. Disorders of Neuromuscular Junction and Muscle
- 37. Neuromuscular Junction Disorders
- Myasthenia Gravis
- Lambert-Eaton Myasthenic Syndrome
- Botulism
- Congenital Myasthenic Syndromes
- 38. Myopathy
- Clinical
- Electrophysiologic Evaluation
- Clinical and Electrophysiologic Patterns in Selected Myopathies
- Ultrasound Correlations
- 39. Myotonic Muscle Disorders and Periodic Paralysis Syndromes
- Muscle Cooling
- Exercise Testing
- Repetitive Nerve Stimulation
- Dystrophic Myotonic Muscle Disorders
- Nondystrophic Myotonic Muscle Disorders and Periodic Paralysis Syndromes
- Other Conditions Associated with Myotonia and Periodic Paralysis
- Section IX. Electromyography in Special Clinical Settings
- 40. Approach to Electrodiagnostic Studies in the Intensive Care Unit
- Differential Diagnosis of Neurologic Weakness in the ICU
- Electrodiagnostic Studies in the ICU: Technical Issues
- Important Electrodiagnostic Patterns in the Intensive Care Unit
- Nerve Conduction and Electromyographic Protocol in the Intensive Care Unit
- 41. Approach to Pediatric Electromyography
- Neuromuscular Diagnoses are Different in Children Compared with Adults
- Maturation Issues
- Technical Issues
- Approach to the Child as A Patient
- Goals of the Pediatric Electrodiagnostic Examination
- Trends in Pediatric Electrodiagnosis
- Ultrasound Correlations
- Section X. Electronics and Instrumentation
- 42. Basics of Electricity and Electronics for Electrodiagnostic Studies
- Basics of Electricity
- Capacitance, Inductance, and Reactance
- Waveforms, Frequency Analysis, and Filtering
- Low-Frequency (High-Pass) Filters
- High-Frequency (Low-Pass) Filters
- Practical Implications for Electrodiagnostic Studies
- 43. Electrical Safety and Iatrogenic Complications of Electrodiagnostic Studies
- Electrical Issues
- Pneumothorax
- Bleeding
- Infection
- Local Injury
- Hypersensitivity Reactions
- Ultrasound Correlations
- Summary
- Appendix
- Appendix
- Index
- No. of pages: 808
- Language: English
- Edition: 4
- Published: March 20, 2020
- Imprint: Elsevier
- Hardback ISBN: 9780323661805
- eBook ISBN: 9780323758307
- eBook ISBN: 9780323758291
DP
David C. Preston
David C Preston, MD: Professor, Case Western Reserve University, School of Medicine; Vice Chairman, Neurology for Academic and Educational Affairs, University Hospitals Cleveland Medical Center; Program Director, Neurology Residency Program, University Hospitals Cleveland Medical Center; Director, Neuromuscular Ultrasound Laboratory, Neurological Institute; Co-Director, EMG Laboratory, University Hospitals Cleveland Medical Center
Research Interests: Neuromuscular disorders, EMG and nerve conduction studies, entrapment neuropathies, medical education, computers in medicine, web design, neuroradiology, neuromuscular ultrasound, cerebrovascular disorders
Affiliations and expertise
Professor of Neurology, Vice Chairman, Department of Neurology, Program Director, Neurology Residency, Co-Director, EMG Laboratory, Neurological Institute, University Hospitals Case Medical Center, Cleveland, OhioBS
Barbara E. Shapiro
Barbara E. Shapiro, MD, PhD: Associate Professor, Department of Neurology, Case Western Reserve University, School of Medicine; Director, Neuromuscular Research, University Hospitals Cleveland Medical Center
Research Interests: Peripheral neuropathy, metabolic & muscular dystrophy, entrapment neuropathy, neuromuscular disorders, late-onset Tay-Sachs disease
Affiliations and expertise
Associate Professor of Neurology, Director, Neuromuscular Research, Neurological Institute, University Hospitals Case Medical Center, Cleveland, Ohio