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- BookNestor Galvez-Jimenez, Alexandra Soriano, John A. Morren, editors.Summary: This easily readable book describes a practical approach to electrodiagnostic medicine. Replete with well-curated figures, the relevant principles and procedures are clearly described and portrayed, including the anatomical details needed for successful nerve conduction studies and needle electrode examination. Numerous summary tables also convey key information in a concise and easily accessible manner. The reader is also able to reinforce understanding of the various topics through high-yield sample cases which are presented and discussed at the end of chapters. Electrodiagnostic Medicine, A Practical Approach is ideal reading for budding, junior as well as more experienced electrodiagnosticians, particularly those in the field neurology and physiatry.
Contents:
Intro
Foreword
Preface
Few Antecedent Words of Gratitude from NGJ
Using the Book
Contents
Contributors
1: Principles of Electrodiagnosis: Introduction
Introduction
Biases, Advantages and Disadvantages/Limitations (see Tables 1.2, 1.3 and 1.4)
Physiopathological Basis for the Interpretation of NCS
Nerve Conduction Studies
Needle Electrode Examination
Late Responses
F-Wave (Fig. 1.4)
H-reflex (Fig. 1.5)
The A-wave or Axon Reflex
Blink Reflexes
Facial Nerve Motor Studies
Standard Assessments of the Upper and Lower Extremities Some Common Scenarios in Which an Electrodiagnostic Study Is Requested
Hand Pain/Numbness/Sensory Disturbance
Foot Pain/Numbness/Sensory Disturbance
Radiculopathies
Proximal Lower Limb/Anterior Thigh Weakness
Foot Drop/Weakness
Generalized Weakness
References
2: Atlas of Nerve Conduction Studies (NCS)
Introduction
General Concepts
Upper Extremities
Sensory NCS
Median Sensory Recording at Index Finger (See Fig. 2.1)
Median Sensory Recording at the Thumb (See Fig. 2.2)
Median Sensory Recording at Middle Finger (See Fig. 2.3) Ulnar Sensory Recording at Fifth Finger (See Fig. 2.4)
Dorsal Ulnar Cutaneous Sensory Recording at Dorsum of the Hand (See Fig. 2.5)
Radial Sensory Recording at Base of the Thumb (See Fig. 2.6)
Median Palmar Mixed Nerve (See Fig. 2.7)
Ulnar Palmar Mixed Nerve (See Fig. 2.8)
Medial Antebrachial Cutaneous Sensory Recording Medial Forearm (See Fig. 2.9)
Lateral Antebrachial Cutaneous Sensory Recording Lateral Forearm (See Fig. 2.10)
Motor NCS
Median Motor Recording at Abductor Pollicis Brevis (APB)
Ulnar Motor Recording at Abductor Digiti Minimi (ADM) Ulnar Motor Recording at First Dorsal Interosseous (FDI)
Radial Motor Recording at Extensor Digitorum (Communis) [ED/EDC]
Musculocutaneous Recording at Biceps Brachii
Axillary Recording at Deltoid Muscle
Lower Extremity
Sensory NCS
Sural (Sensory) Recording Posterior Distal Leg/Lateral Ankle (See Fig. 2.23)
Superficial Peroneal (Fibular) Sensory Recording Dorsolateral Aspect of Ankle/Proximal Foot (See Fig. 2.24)
Saphenous Nerve Recording Medial Distal Leg (See Fig. 2.25)
Lateral Femoral Cutaneous Nerve Recording Lateral Thigh (See Fig. 2.26) Medial and Lateral Plantar Mixed Nerve Response Recording the Medial Ankle (See Figs. 2.27 and 2.28)
Motor NCS
Peroneal (Fibular) Motor Recording at Extensor Digitorum Brevis (EDB)
Peroneal (Fibular) Motor Recording at Tibialis Anterior (TA)
Tibial Motor Recording at Abductor Hallucis (AH)
Tibial Motor Recording at Abductor Digiti Quinti Pedis (ADQP)
Femoral Motor Recording at Rectus Femoris
Tibial H-Reflex Recording at Soleus
Spinal Accessory Motor Recording at Trapezius
Facial Motor Recording at Nasalis
Suggested Reading - Book
- ArticleMortensen NJ, Morris JF, Owens CJ.Cell Tissue Res. 1978 Sep 26;192(3):513-25.The effect of intragastric administration of acetylcholine on serum and antral gastrin concentrations of rats has been examined using a radioimmunoassay and quantitative electron microscopy. Exposure of the stomach of rats, previously fasted for 24h, to 2% acetylcholine for either 0.5 or 2h resulted in a significant 4--5 fold increase in serum gastrin concentrations to levels similar to those found in fed animals. Such treatment produced no detectable change in antral gastrin concentration or in the number or electron density of secretory granules in the G cells. This lack of detectable change in the G cells was not unexpected since our calculations suggest that less than 10% of the total gastrin stored in the antrum is released over 2h as a result of the stimulation with acetylcholine. The proportion of electron-lucent secretory granules was, however, markedly increased by prolonged fixation in aldehydes. The increase was similar in both ACh stimulated and control animals. These results indicate that the ultrastructural appearance of G cell secretory granules in influenced far more by the conditions of fixation than by the release of gastrin. They therefore cast considerable doubt on the hypothesis that gastrin is released by molecular dispersion from the granules.