Motor Unit Number Estimation (MUNE) and Quantitative EMG

Clinical neurophysiologic testing is an important component of evaluating patients with complaints that may be attributed to diseases of the central or peripheral nervous system. This classic volume in the Contemporary Neurology Series covers the basic concepts underlying each of the testing techniques and provides comprehensive descriptions of the methods and wide range of electrophysiologic testing available for patients with epilepsy, neuromuscular diseases, movement disorders, demyelinating diseases, sleep disorders, autonomic disorders and those undergoing orthopedic and neurosurgical procedures. This text details the role of each study, the interpretation of findings, and their application clinical problems. This text describes the multiple diagnostic procedures for diverse diseases of the neuromuscular system, including: electroencephalography (EEG); electromyography and nerve conduction studies; single fiber EMG; polysomnography; surface EMG patterns, blood pressure, pulse, sweat measures; vestibular function testing; deep brain stimulator physiology; and intraoperative monitoring. It is a practical textbook for neurologists, physiatrists and clinical neurophysiologists in clinical or research practice or in training. Key Features of the New Edition Include: 1. Fully updated chapters to reflect new research and techniques in clinical neurophysiology. 2. Updated images illustrating key elements of techniques and basic concepts. 3. Case examples for practical application.

This manual is a practical, illustrated how-to guide to the proper techniques and electrode placements for common nerve conduction studies. The first section describes each nerve conduction study, including placement of electrodes, typical electromyography equipment settings, normal values, and pearls and pitfalls. The second section provides detailed coverage of surface anatomy for needle electromyography and shows where to place the needles for each muscle. More than 200 clear photographs demonstrate correct placement of needle electrodes. Chapters in each section follow a consistent sequence and are written in outline format to help readers find information quickly.

Clinical Neurophysiology, Third Edition will continue the tradition of the previous two volumes by providing a didactic, yet accessible, presentation of electrophysiology in three sections that is of use to both the clinician and the researcher. The first section describes the analysis of electrophysiological waveforms. Section two describes the various methods and techniques of electrophysiological testing. The third section, although short in appearance, has recommendations of symptom complexes and disease entities using electroencephalography, evoked potentials, and nerve conduction studies.

Appropriately select, implement, and interpret electrodiagnostic tests to identify a full range of central and peripheral nervous system disorders with Aminoff’s Electrodiagnosis in Clinical Neurology! Covering everything from basic principles to the latest advances in electrodiagnosis, this medical reference book helps you make optimal use of this powerful but complex diagnostic modality in compliance with regulatory and professional standards, so you can diagnose patients accurately and initiate effective treatment and management strategies. Deepen your understanding of the principles, scope, limitations, diagnostic importance, prognostic relevance, and complications for each technique. Visually grasp the technical and practical aspects of electrodiagnostic tests with almost 800 charts, figures, and tables. Rely on the knowledge, experience, and perspective of renowned expert Dr. Michael J. Aminoff and an international team of contributors comprised of a virtual "who’s who" of clinical neurophysiology. Keep up with developments in the field through significant updates, including new chapters on Artifacts and Normal Variants in the Electroencephalogram; Microneurography; Clinical Applications of Nerve Excitability Testing; Ultrasound of Muscle and Nerve; The Blink Reflex and Other Brainstem Reflexes; Visual Evoked Potentials, Electroretinography and Other Diagnostic Approaches to the Visual System; and Magnetic Stimulation in Clinical Practice and Research. Meet regulatory and professional standards and apply best practices with state-of-the-art guidance (for both non-specialists and specialists) emphasizing the clinical applications of each electrodiagnostic technique. Get easily actionable information and avoid mistakes with electrophysiologic findings integrated into the clinical context in which they are obtained.

Our understanding of the pathology of amyotrophic lateral sclerosis is a continuously changing field. New hypotheses are generated with each new discovery; they are abandoned to be reanalyzed after some time under the light of new observations. This book present a series of reviews from experts in different aspects of the disease focus on these hypotheses. There are also a few review chapters providing clear examples of these new observations that make the field to reanalyze previous conclusions.

The only case-based guide to electromyography—back in a fully revised and updated New Edition! This practical resource examines how to approach, diagnose, and manage the most commonly encoun-tered disorders in the EMG laboratory. Based on actual cases, it correlates patient history, physical exam, EMG findings, relevant anatomy, treatment, and follow-up to help readers sharpen their clinical problem-solving skills. New cases have been added, and every case includes the latest advances in knowledge and technique. Features study questions, answers, and clinical discussions of how experts manage cases to help readers work through the problems presented. Summarizes the results of nerve conduction studies and EMG data with standardized tables. Includes more than 200 relevant imaging studies and anatomic figures. Makes information easy to find with a uniform chapter organization. Offers a consistent approach to electromyography based on Dr. Katirji's broad knowledge and clinical experience. 7 new case studies, including Hereditary Neuropathy with Liability to Pressure Palsy, Ischemic Monomelic Neuropathy, and Myotonic Dystrophy. Three new chapters on Nerve Conduction Studies, Needle EMG Examination, and Specialized Procedures. Many new and revised figures that clarify complex information.

The New Edition of this respected reference delivers complete, practical guidance on current electrodiagnostic techniques and their clinical applications for investigating problems of both the central and peripheral nervous systems. Completely revised and updated, this 5th Edition provides state-of-the-art knowledge on electroencephalography, electromyography, nerve conduction studies, evoked potentials, polysomnography, and electronystagmography. Emphasizes the clinical applications of each electrodiagnostic technique, providing state-of-the-art guidance for both non-specialists and specialists. Discusses the principles, scope, limitations, diagnostic importance, prognostic relevance, and complications for each technique. Clarifies the technical and practical aspects of electrodiagnostic tests with over 700 charts, figures, and tables. Includes a new chapter on Magnetoencephalography that discusses the use of this newer modality for the evaluation of patients with disorders such as epilepsy. Provides a new chapter on Quantitative Electromyography as well as a new chapter on Neurophysiological Evaluation of Sacral Function that includes new discussions of how to evaluate bladder, bowel, and sexual function. Features revisions and updates to all other existing chapters.

Clinical Neurophysiology is aimed at bedside clinical application of neurophysiological tests, with emphasis on clinical problem solving. Highly illustrated format including line diagrams, clinical photographs, CT scan and MRI pictures with corresponding neurophysiological findings is a special feature of this book. Clinical Neurophysiology is written by clinicians for fellow clinicians. This book will be useful to all those ordering, conducting or interpreting electrodiagnostic tests, especially students and clinicians in the areas of neurology, neurosurgery, and pediatrics. The exposition is systematically organized into the following three parts: Nerve Conduction: It discusses the basis of electrodiagnostic signals and their measurements. The techniques of performing nerve conduction tests of various nerves have been illustrated with a series of simple line diagrams. Electromyography: It deals with the basis of EMG signals, their recording and interpretation. The application of myography in various myopathies and neurogenic disorders has been discussed in detail. A review of single fiber electromyography is included. Evoked Potentials: This covers visual, brainstem, somatosensory and motor evoked potentials. New to this Edition Three chapters: Electrodiagnosis in Pediatric Practice, Cognitive Evoked Potential, and Role of Clinical Neurophysiology in Prognosis of Neuromuscular Disorders. Updation of all chapters in the light of recent advances in genetics, immunology, molecular diagnosis, and neurophysiology. Extensive revision of Electromyography, Clinical Application of Electromyography and Nerve Conduction, and Repetitive Nerve Stimulation. Many additional illustrations highlighting the clinical applications of various tests.

"This book provides an updated overview of signal processing applications and recent developments in EMG from a number of diverse aspects and various applications in clinical and experimental research"--Provided by publisher.

Leading authorities in the field present a comprehensive, clinically focused text on all major aspects of electrodiagnosis in neurology. Serves as a practical daily resource for the clinician as well as an excellent study tool for board preparation in neurology and subspecialty status in neurophysiology. Topics in this generously illustrated text include basic neurophysiology, electromyography, autonomic testing, electroencephalography, evoked potentials and much more! Extensive descriptions and clinical examples in clinical neurophysiology Figures demonstrating electrophysiological examples Chapters devoted to EEG in children: normal development of the EEG, neonatal seizures, and paediatric epilepsy syndromes Individual case studies Chapters on problem solving in EMG diagnosis Primer on a unique technique for the localisation of EEG discharges Emerging application in neuromagnetic stimulation

The latest basic research is evaluated and integrated into clinical management in a comprehensive book that encompasses all aspects of tendon and nerve surgery of the hand. Topics covered include surgical techniques for both tendon and nerve injuries, evaluation of surgical outcome, psychologic impact of hand injuries and surgical rehabilitative methods.

Motor Neuron Disease in Adults reviews new information as it applies to all aspects of motor neuron disease (ALS, PLS, PMA). The choice of articles is for those that use evidence-based methods to ensure that the new information is solid and advances the topic or issue. The book can be used by anyone who provides any type of care to ALS patients. In particular, neurologists will find the latest information on diagnosis and management, as well as new information on genetics and frontotemporal lobe involvement. Allied health providers will find useful information for their discipline. Patients will also find both specific and general information to help understand what they are experiencing and how to help manage their symptoms.

This book summarizes the advances in our understanding of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD), as well as the potential relationship between the two.

Updated and expanded for its Second Edition, this volume offers practical guidance in the diagnosis and treatment of motor disorders. The book brings together, in one convenient source, the entire spectrum of motor disorders caused by various etiologies. Seventeen new chapters cover vertigo and vestibular disorders; laryngeal motor disorders; facioscapulohumeral muscular dystrophy; myalgia, fibromyalgia, fasciculation, and cramps; plexus disorders; entrapment neuropathies; the diabetic neuropathies; Guillain-Barr� syndrome; rupture of an intervertebral disc and related spinal disorders; vitamin B12 (cobalamin) deficiency; adult normal pressure hydrocephalus; motor aspects of stroke; motor sequelae of dementia; motor sequelae of epilepsy; central nervous system vasculitis; traumatic brain injury; and motor disorders associated with cerebral palsy.

This book presents a broad yet focused treatment of central topics in the field of clinical neurophysiology. The volume was inspired by the clinical neurophysiology lecture series at Beth Israel-Deaconess Medical Center and Rhode Island Hospital. Much like the lecture series, this book is designed to acquaint trainees with the essential elements of clinical neurophysiology. Each chapter is written by leading and respected clinical neurophysiologists.

Devoted exclusively to the neurophysiology of children. It includes comprehensive information on electroencephalography (EEG), electromyography (EMG), nerve conduction studies (NCS), and evoked potentials (EP). Written by a stellar group of recognized authorities, this text is essential for pediatric neurologists and general neurologists who perform and interpret neurophysiologic tests on children. Contains practical guides on interpreting neonatal and pediatric EEGs Includes a discussion of pediatric sleep disorders. Covers the use of magnetoencephalogrphy in localization of cerebral function in children, intracranial EEG monitoring in the evaluation of children with medically intractable epilepsy, neurophysiology of language and behavioral disorders in children, intraopearative evoked potentials and the interrelation of DNA analysis with clinical neurophysiology in the diagnosis of chronic neuromuscular disorders of childhood.