Document Detail


Electrodiagnostic examination of lumbosacral radiculopathies.
MedLine Citation:
PMID:  10907601     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the diagnostic efficacy of late responses and of magnetic stimulation in the electrodiagnostic evaluation of lumbosacral radiculopathies, 42 patients with acute monoradiculopathies of L5 or S1 were examined. We performed conventional nerve conduction studies, F-wave studies, needle electrode examination (NEE) and magnetic stimulation. The results were compared with a control group of 36 persons. In the patients with weakness, we found a diagnostic sensitivity for NEE of 90% in L5 and of 80% in S1. F-waves had the same sensitivity as NEE in the patients with weakness and were more sensitive in the group of patients without weakness (L5 80%, S1 67%). Magnetic stimulation had a sensitivity of 40% in all groups. There were also abnormalities of NEE and of F-wave studies in the patients with abnormal magnetic stimulation. It is concluded that NEE is the single most effective method in acute LSR and that F-wave studies are able to provide complementary information. Magnetically evoked motor nerve root stimulation was not found of clinically relevant diagnostic value.
Authors:
F Weber; U Albert
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Electromyography and clinical neurophysiology     Volume:  40     ISSN:  0301-150X     ISO Abbreviation:  Electromyogr Clin Neurophysiol     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-11-08     Completed Date:  2000-11-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0327533     Medline TA:  Electromyogr Clin Neurophysiol     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  231-6     Citation Subset:  IM    
Affiliation:
Dept. of Neurology, Military Hospital Ulm/Donau, Germany.
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MeSH Terms
Descriptor/Qualifier:
Action Potentials / physiology
Adult
Electrodes, Implanted
Electrodiagnosis*
Electromyography / instrumentation
Evoked Potentials, Motor / physiology
Humans
Linear Models
Magnetics / diagnostic use
Middle Aged
Muscle Weakness / diagnosis
Nerve Compression Syndromes / diagnosis
Neural Conduction / physiology
Neurons, Afferent / physiology
Peroneal Nerve / physiopathology
Prospective Studies
Radiculopathy / diagnosis*
Reaction Time
Sciatica / diagnosis
Sensitivity and Specificity
Tibial Nerve / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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