and Management of Carpal Tunnel Syndrome To the Editor: The May/June guest editorial1 raised several issues regarding the use of electrodiagnostic testing in the diagnosis and management of carpal tunnel syndrome. In this guest editorial, Dr Fowler expressed concerns regarding the sensitivity and specificity of electrodiagnostic testing in carpal tunnel syndrome, the benefit of confirmatory ele...

The aim of this review is to present the status of electrodiagnostic standards and guidelines in neuromuscular disorders. Electrodiagnostic guidelines are developed on the background of medical technology assessment, wherefore a short presentation of medical technology assessment is given covering: (1) Evidence-based medicine, i.e. "to do the right thing", describing practice parameters and the...

We reviewed the medical records of 233 patients having electrodiagnostic evidence of polyradiculopathy. Patients with polyneuropathy or incomplete diagnostic evaluation were excluded. A clinical diagnosis was secured in 92 of the 118 remaining patients. Patients were separated into three groups based upon the anatomic location of root involvement: extradural (55), intradural-extraaxial (23), an...

The American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) developed guidelines to formalize the ethical standards that neuromuscular and electrodiagnostic (EDx) physicians should observe in their clinical and scientific activities. Neuromuscular and EDx medicine is a subspecialty of medicine that focuses on evaluation, diagnosis, and comprehensive medical management, includ...

Lunate and perilunate dislocations are uncommon, but they have clinical importance because complications, such as median neuropathy and avascular necrosis of the lunate, can occur. Although early diagnosis enabling early surgical treatment is crucial for preventing long-term sequelae, these dislocations are frequently missed in the initial assessment. Imaging tools, such as plain radiography, m...

Background:  This study tested the null hypothesis that nonoperatively treated patients would not show disease progression of carpal tunnel syndrome (CTS) over time according to median nerve distal motor latency (DML) on two electrodiagnostic tests.   Methods:  This retrospective study analyzed sixty-two adult nonoperatively treated patients who were diagnosed with CTS confirmed by a minimum of...

INTRODUCTION The correlation between monofilament testing, symptom surveys, and electrodiagnostic studies for the diagnosis of axonal polyneuropathy has not been well studied. This investigation was done to assess the agreement between these procedures in a non-random sample of volunteers. METHODS The procedures evaluated included electrodiagnostic tests of the sural nerve, monofilament testi...

383 August 2014 P OSTOPERATIVE nerve injuries (PNIs) have anesthetic, patient, and surgical contributions and determining the etiology may be challenging when peripheral nerve blockade is used. Evaluating PNI relies on clinical assessment, electrodiagnostic testing, and magnetic resonance imaging (MRI). MRI of peripheral nerves can diagnose external compression or loss of nerve continuity and i...