This chapter focuses on the management of patients who have had previous surgery for correction of spinal deformity that requires further surgical intervention. Patients who present with failed surgical correction or with new surgical issues are typically complex and require a thorough physical examination and complete diagnostic evaluation. A combination of laboratory, radiologic, and electrod...

Electrodiagnostic testing has proved useful in helping to establish the diagnosis of amyotrophic lateral sclerosis by eliminating possible disease mimics and by demonstrating abnormalities in body areas that are clinically unaffected. Electrodiagnosis begins with an understanding of the clinical features of the disease, because clinical correlation is essential. To improve the sensitivity of th...

BACKGROUND Although phlebotomy is a common procedure, there is limited information concerning to documented complications of venipuncture. CASE PRESENTATION A 45 year old left- handed woman was refered for elecrodiagnostic study with dysesthesia and pain in left medial forearm. She noted these symptoms three weeks after phelebotomy. Electrodiagnostic study showed severe involvement of left si...

introduction: to study the effects of polarized polychromatic noncoherent light (bioptron) therapy on patients with carpal tunnel syndrome (cts). methods: this study was designed as a randomized clinical trial. forty four patients with mild or moderate cts (confirmed by clinical and electrodiagnostic studies) were assigned randomly into two groups (intervention and control goups). at the beginn...

Adult traumatic brachial plexus injuries are devastating, and they are occurring with increasing frequency. Patient evaluation consists of a focused assessment of upper extremity sensory and motor function, radiologic studies, and, most important, preoperative and intraoperative electrodiagnostic studies. The critical concepts in surgical treatment are patient selection as well as the timing an...

OBJECTIVE To investigate a diagnostic value of ultrasonography in carpal tunnel syndrome (CTS) patients and to evaluate a correlation of sonographic measurements with the degree of electrodiagnostic abnormalities and clinical severity. METHODS Two-hundred-forty-six symptomatic hands in 135 patients and 30 asymptomatic hands in 19 healthy individuals as control group were included. In ultrason...

Traumatic injuries to the brachial plexus in adults are severely debilitating. They generally affect young individuals. A thorough understanding of the anatomy, clinical evaluation, imaging and electrodiagnostic assessments, treatment options and proper timing of surgical interventions will enable nerve surgeons to offer optimal care to patients. Advances in microsurgical technique have improve...

BACKGROUND Phlebotomy is one of the routine procedures done in medical labs daily. CASE PRESENTATION A 52 yr woman noted shooting pain and dysesthesia over her right side anterolateral aspect of forearm, clinical examination and electrodiagnostic studies showed severe involvement of right side lateral antebrachial cutaneous nerve. CONCLUSION Phlebotomy around lateral aspect of antecubital f...

Key Practice Points: • Upper limb entrapment neuropathies can present clinically similar to various musculoskeletal conditions. • History, physical examination, and electrodiagnostic studies alone do not always accurately identify the correct diagnosis. • The practioner’s ability to employ a combination of neuromuscular and musculoskeletal ultrasound can be a powerful adjuvant to clinical and e...

Electrodiagnostic testing is used widely for the full characterization of neuromuscular disorders and for providing unique information on the processes underlying the pathology of peripheral nerves and muscles. However, such testing should be considered as an extension of anamnesis and physical examination, not as pathognomonic of a specific disease entity. There are many pitfalls that could le...