EMG Pearls book cover

EMG Pearls

This title in the popular Pearls Series focuses on electrodiagnostic studies of neuromuscular diseases. EMGs and their interpretation are a major component of the specialty of physical medicine and rehab physicians, and they are important to neurologists and electromyographers. For each case, patient information is presented, the EMG findings are discussed, and the reader is asked to make a diagnosis based on these findings. The next page reveals the diagnosis, discussed the case and the medical condition in question, and then presents 3-4 pearls of practice distilled from the case.

Audience
Neurologists, Physiatrists, Electromyographers

Paperback, 288 Pages

Published: March 2004

Imprint: Hanley And Belfus Medical Publishers

ISBN: 978-1-56053-613-0

Contents

  • SECTION I. FOCAL NEUROPATHIES


    Introduction


    Case 1. A 60-year-old man with numbness and tingling in his hands for 1 year
    Case 2. A 48-year old woman with numbness and tingling in both hands
    Case 3. A 68-year-old woman with numbness and tingling in her hands
    Case 4. A 53-year-old woman with right hand weakness and numbness after an axillary dissection
    Case 5. A 36-year-old man with 2 years of numbness in his left hand digits 4 and 5
    Case 6. A 55-year-old man with numbness in hand digits 4 and 5
    Case 7. A 53-year-old woman with left hand weakness
    Case 8. A 40-year-old woman referred for left carpal tunnel syndrome or ulnar neuropathy
    Case 9. A 23-year-old woman with progressive weakness, atrophy, and numbness in one hand
    Case 10. A 68-year-old man with metastatic melanoma and progressive left wrist drop for several months
    Case 11. A 43-year-old man with scapular winging after a cervical lymph node biopsy
    Case 12. A 51-year-old man with scapular winging after arthroscopic shoulder surgery
    Case 13. A 23-year-old man with right arm weakness after a motorcycle accident
    Case 14. 56-year-old woman 2 days after a left shoulder dislocation and closed reduction with diffuse left arm weakness
    Case 15. A 56-year-old man with painful left hand weakness
    Case 16. A 71-year-old man with left arm weakness for 1 month
    Case 17. A 61-year-old woman with breast cancer, and right neck and shoulder pain and hand weakness and numbness 3 months prior to evaluation
    Case 18. A 64-year-old man with right foot drop 6 weeks prior
    Case 19. A 70-year-old woman with right foot drop after hip replacement
    Case 20. A 38-year-old man with left foot weakness and numbness after prior treatment for a posterior thigh sarcoma
    Case 21. A 73-year-old man with right leg numbness, weakness, and pain
    Case 22. A 46-year-old woman with right leg pain and intermittent paresthesias
    Case 23. A 57-year-old man with right leg weakness after repair of abdominal aortic and internal iliac artery aneurysms


    SECTION II. GENERALIZED NEUROPATHIES


    Introduction


    Case 24. A 73-year-old man with an IgG-k paraprotein and several years of progressive numbness and weakness in the feet and hands
    Case 25. A 43-year-old man with diabetes and multiple neurologic symptoms
    Case 26. A 73-year-old man with diabetes and several months of chest pain
    Case 27. A 55-year-old woman with 6 months of progressive numbness in her feet
    Case 28. A 71-year-old woman with several years of progressive numbness in her hands and feet
    Case 29. A 38-year-old man with numbness and weakness in the hands and feet and a skin rash
    Case 30. A 64-year-old woman with left severe shoulder pain and weakness of shoulder abduction for 3 days, followed by progressive neurologic deficits
    Case 31. A 38-year-old man with fever and acute generalized weakness and distal numbness
    Case 32. A 66-year-old woman with numbness in her hands and feet and progressive generalized weakness
    Case 33. 43-year-old woman with progressive generalized weakness and numbness for 5 months
    Case 34. A 48-year-old man with acute progressive numbness and paresthesias in his hands and feet and generalized weakness
    Case 35. A 49-year-old woman with numbness in her right hand and both feet
    Case 36. A 35-year-old woman with numbness in her hands and feet for 3 weeks and a right facial palsy for several days
    Case 37. A 68-year-old woman with slowly progressive weakness in her legs without paresthesias
    Case 38. A 32-year-old woman with a severe neuropathy since childhood
    Case 39. A 33-year-old woman with long-standing asymmetric weakness in all four limbs and a family history of neuropathy
    Case 40. A 72-year-old woman with 12 years of progressive numbness and paresthesias in her hands and feet and mild gait ataxia
    Case 41. A 41-year-old woman with an 11-year history of progressive numbness in her limbs
    Case 42. A 43-year-old woman with acute generalized weakness developing 1 month into her intensive care unit stay for sepsis and multiorgan failure


    SECTION III. NEUROMUSCULAR JUNCTION DISEASE


    Introduction


    Case 43. A 17-year-old woman with progressive dysarthria and dysphagia for 4 months
    Case 44. A 71-year-old man with subacute symmetrical proximal weakness
    Case 45. A 34-year-old woman with generalized weakness since infancy


    SECTION IV. MOTOR NEURON DISEASE AND MOTOR NEUROPATHIES


    Introduction


    Case 46. A 55-year-old man with progressive left hand weakness for 6 months
    Case 47. A 3-month-old boy with congenital hypotonia and weakness
    Case 48. A 66-year-old man with a 5-year history of progressive weakness and wasting of his distal right leg
    Case 49. A 45-year-old woman with a 5-year history of cramps and twitching in and 2-year history of weakness in her left forearm


    SECTION V. MYOPATHIES


    Introduction


    Case 50. A 49-year-old woman with progressive proximal leg weakness for 3 years
    Case 51. A 6-month-old girl with generalized weakness since birth
    Case 52. A 29-year-old man with a cardiomyopathy
    Case 53. A 62-year-old man with slowly progressive weakness
    Case 54. A 46-year-old woman with a 2-year history of proximal leg and arm weakness
    Case 55. A 59-year-old woman with proximal weakness and a rash
    Case 56. A 70-year-old man with difficulty climbing stairs for several years
    Case 57. A 50-year-old woman with HIV infection and weakness of her arms and legs for 6 months
    Case 58. An 85-year-old woman with progressive leg weakness and myalgias
    Case 59. A patient with acquired rippling muscle disorder
    Case 60. A 75-year-old woman with difficulty holding her head up


    SECTION VI. EMG-GUIDED BOTULINUM TOXIN THERAPY OF FOCAL DYSTONIAS


    Introduction


    Case 61. A 39-year-old woman with 3–4 years of progressive difficulty using her right hand for writing but no difficulty buttoning, typing, or using utensils
    Case 62. A 47-year-old man with progressive difficulty in writing for 5 years
    Case 63. A 45-year-old woman with several years of difficulty with her right hand limited to writing

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