Practical Approach to Electromyography is a pictorial guide to performing and interpreting EMG studies. This step-by-step manual contains tips for working up clinical problems typically encountered in the EMG laboratory and highlights technical aspects and potential pitfalls of sensory and motor nerve conduction studies. Hundreds of photographs and drawings illustrate proper placements of recording and stimulation electrodes and insertion of needle electrodes into the various muscles. The authors also provide sets of normal values and instruction on how to write and interprete an EMG report. Practical Approach to Electromyography is a practical visual reference for both novices and experienced electromyographers. Features of Practical Approach to Electromyography include: Emphasizes a practical orientation Integrates EMG studies into an overall comprehensive neurology examination Provides specific information on needle and electrode placement Over 350 photos and line drawings highlight the relevant landmarks Provides sets of normal values Teaches how to write an EMG Report
Amyotrophic lateral sclerosis (ALS) is a rapidly progressive neurodegenerative disorder of the motor neurons in the motor cortex, brainstem, and spinal cord. The clinical phenotype of ALS is underscored by a combination of upper and lower motor neuron dysfunction. Although this phenotype was observed over 100 years ago, the site of ALS onset and the pathophysiological mechanisms underlying the development of motor neuron degeneration remain to be elucidated. Transcranial magnetic stimulation (TMS) enables noninvasive assessment of the functional integrity of the motor cortex and its corticomotoneuronal projections. To date, TMS studies have established cortical dysfunction in ALS, with cortical hyperexcitability being an early feature in sporadic forms of ALS and preceding the clinical onset of familial ALS. Taken together, a central origin of ALS is supported by TMS studies, with an anterograde dying-forward mechanism implicated in ALS pathogenesis. Of further relevance, TMS techniques reliably distinguish ALS from mimic disorders, despite a compatible peripheral disease burden, thereby suggesting a potential diagnostic utility of TMS in ALS. This chapter reviews the mechanisms underlying the generation of TMS parameters utilized in assessment of cortical excitability, the contribution of TMS in enhancing the understanding of ALS pathophysiology, and the potential diagnostic utility of TMS techniques in ALS.
Practical Approach to Electromyography is a pictorial guide to performing and interpreting EMG studies. This step-by-step manual contains tips for working up clinical problems typically encountered in the EMG laboratory and highlights technical aspects and potential pitfalls of sensory and motor nerve conduction studies. Hundreds of photographs and drawings illustrate proper placements of recording and stimulation electrodes and insertion of needle electrodes into the various muscles. The authors also provide sets of normal values and instruction on how to write and interprete an EMG report. Practical Approach to Electromyography is a practical visual reference for both novices and experienced electromyographers. Features of Practical Approach to Electromyography include: Emphasizes a practical orientation Integrates EMG studies into an overall comprehensive neurology examination Provides specific information on needle and electrode placement Over 350 photos and line drawings highlight the relevant landmarks Provides sets of normal values Teaches how to write an EMG Report
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