DISCHARGE RATES IN ELECTROMYOGRAPHY DISTINGUISH EARLY BETWEEN PERIPHERAL AND CENTRAL PARESIS

Juergens, Tim P. and Puchner, Christoph and Schulte-Mattler, Wilhelm J. (2012) DISCHARGE RATES IN ELECTROMYOGRAPHY DISTINGUISH EARLY BETWEEN PERIPHERAL AND CENTRAL PARESIS. MUSCLE & NERVE, 46 (4). pp. 591-593. ISSN 0148-639X, 1097-4598

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Abstract

Introduction: Abnormally increased discharge rates (DRs) of motor unit potentials on concentric needle electromyography (CNEMG) indicate a loss of motor units in peripheral neurogenic lesions. Methods: To determine when increased DRs occur during the course of a peripheral nerve lesion, we retrospectively analyzed CNEMG recordings of 19 patients with acute weakness of peripheral origin. Results: The initial CNEMG studies took place from 3.7 hours to 10 days after the onset of the lesion. Abnormally increased DRs (>= 20/s) were found in all but 1 of the muscles in which MRC grade was < 4. Peripheral neurogenic damage was confirmed in all patients thereafter. The DRs depended on neither the kind of lesion nor the time between onset and CNEMG examination. Conclusions: The measurement of DRs of motor unit potentials is helpful immediately after a sudden paresis of MRC grade 3 or worse to differentiate between a central and a peripheral lesion. Muscle Nerve 46: 591-593, 2012

Item Type: Article
Uncontrolled Keywords: MOTOR-UNIT DISCHARGE; CONTRACTIONS; discharge rate; EMG; firing rate; paresis; peripheral nerve lesion
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 06 May 2020 04:47
Last Modified: 06 May 2020 04:47
URI: https://pred.uni-regensburg.de/id/eprint/18058

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