Electrophysiological Diagnosis Center

For Neurological Disorders

EMG recording Report
Patient Name: Aziza Saeid Yehia.
Birth Date: 17/07/1986
Recording date: 12/11/2017
Gender: Female.
Patient C/O: Pain and parathesia of the right upper limb.
Referring Physician: Prof. Dr. M.Insurance.
Findings:
- Motor Nerve Examination:
 Right Median nerve showed average amplitude of the CMAP with good wave form, normal
conduction velocity, delayed distal latency (4.6 msec) normal F wave latency.
 Right Ulnar nerve showed average amplitude of the CMAP with good wave form, normal
conduction velocity, normal distal latency, and normal F wave latency.
- Sensory Nerve Examination:
 Right Median nerve showed normal SNAP with delayed distal latency (4.1 msec).
 Right Ulnar nerve showed normal SNAP with average distal latency and normal sensory
nerve conduction velocity.
 Right Superficial radial nerve showed normal SNAP with average distal latency.

Impression:
 Right Carpal Tunnel Syndrome (moderate degree).
 Normal conduction along the right ulnar nerve.
 NO evidence of peripheral neuropathy.
 SSEP or cervical imaging study is recommended for further assessment of the
possibility of cervical root lesion.

Thankyou
Dr. Mostafa Al-Aghory
 Amplitud
Velocity Distance Area Durate Latency
e Site/Segment MNCV
m/s mm mVms ms mV ms
36.8 13.0 11.1 4.6 Abp-wrist Medianus R
67.6 190 39.8 14.1 12.6 7.4 wrist-elbow
40.5 13.2 12.4 2.9 Adm-wrist Ulnaris R
87.3 200 38.3 13.2 12.8 5.2 wrist-down elbow
76.8 60 40.8 14.2 12.9 5.9 down elbow-up elbow

Amplitud
Velocity Distance Area Durate Latency
e Site/Segment SNCV
m/s mm uVms ms uV ms
75.8 2.6 59.7 4.1 wrist-III finger Medianus R
529.1 2.9 54.8 2.7 wrist-V finger Ulnaris R
77.8 290 107.8 2.2 24.1 6.4 elbow-wrist

F F/M amplitude F max latency F min latency F-M latency M latency

% ms ms ms ms
F Wave
60 0.11 26.5 25.1 22.1 3.0 Medianus R
71 0.09 26.1 24.2 21.3 2.9 Ulnaris R

Motor NCV Me dia nus R F Wa ve Me dia nus R

Ch2
5mV

Ch2 wrist
5mV 34mA

e lbow
25mA

08/08/2017 2:40:12 5ms 08/08/2017F 2:40:12 10ms

M
Se nsory NCV Me dia nus R Motor NCV Ulna ris R

Ch2 wrist
5mV 27mA

Ch2 wrist
200uV 22mA down e lbow
57mA

up e lbow
26mA

08/08/2017 2:53:09 2ms 08/08/2017 2:47:50 5ms

 F Wa ve Ulna ris R Se nsory NCV Ulna ris R

Ch2
5mV
Ch2 wrist
200uV 15mA

e lbow
15mA

F 2:47:50 10ms
08/08/2017
M 08/08/2017 2:51:33 2ms
 Electrophysiological Diagnosis Center
For Neurological Disorders
EMG recording Report
Patient Name: Nahed Mohamed Sharaby.
Birth Date: 26/04/1975
Recording date: 12/11/2017
Gender: Female.
Patient C/O: Pain and parathesia of the right upper limb.
Referring Physician: Prof. Dr. Hatim Saad El-Kholly.
Findings:
- Motor Nerve Examination:
 Right Median nerve showed average amplitude of the CMAP with good wave
form, normal conduction velocity, delayed distal latency (5.2 msec) normal F
wave latency.
 Right Ulnar nerve showed average amplitude of the CMAP with good wave form,
normal conduction velocity, normal distal latency, and normal F wave latency.
- Sensory Nerve Examination:
 Right Median nerve showed normal SNAP with delayed distal latency (4.2 msec).
 Right Ulnar nerve showed normal SNAP with average distal latency and normal
sensory nerve conduction velocity.
 Right Superficial radial nerve showed normal SNAP with average distal latency.

Impression:
 Right Carpal Tunnel Syndrome (moderate degree).
 Normal conduction along the right ulnar nerve.
 NO evidence of peripheral neuropathy.

Thankyou
Dr. Mostafa
Al-Aghor
 Amplitud
Velocity Distance Area Durate Latency
e Site/Segment MNCV
m/s mm mVms ms mV ms
22.7 12.6 5.8 5.2 Abp-wrist Medianus R
55.9 230 13.5 13.0 5.1 9.3 wrist-elbow
26.2 10.5 9.5 3.6 Adm-wrist Ulnaris R
60.5 230 30.0 12.1 12.1 7.4 wrist-down elbow
79.1 70 27.4 11.8 12.1 8.3 down elbow-up elbow
Amplitud
Velocity Distance Area Durate Latency
e Site/Segment SNCV
m/s mm uVms ms uV ms
34.9 2.8 31.2 4.2 wrist-III finger Medianus R
88.2 3.1 38.2 2.4 wrist-V finger Ulnaris R
60.1 290 140.2 4.2 60.7 7.2 *****-wrist

F F/M amplitude F max latency F min latency F-M latency M latency

% ms ms ms ms
F Wave
0 0.09 ..... 28.4 23.8 4.7 Medianus R
33 0.09 31.8 29.0 24.9 4.1 Ulnaris R

Motor NCV Me dia nus R F Wa ve Me dia nus R

Ch2
5mV

Ch2 wrist
5mV 44mA

e lbow
99mA

08/08/2017 3:13:54 5ms 08/08/2017

M F3:13:54 10ms
Se nsory NCV Me dia nus R Motor NCV Ulna ris R

Ch2 wrist
5mV 29mA

Ch2 wrist down e lbow

200uV 25mA 69mA

up e lbow
82mA

08/08/2017 3:29:17 2ms 08/08/2017 3:21:03 5ms

 F Wa ve Ulna ris R Se nsory NCV Ulna ris R

Ch2
5mV

Ch2 wrist
200uV 24mA

*****
38mA

08/08/2017
M F3:21:03 10ms 08/08/2017 3:27:07 2ms

Electrophysiological Diagnosis Center

For Neurological Disorders
EMG recording Report
Patient Name: Fahmy Mohamed Shaalan.
 Birth Date: 12/09/1997
Recording date: 12/11/2017
Gender: Male.
Patient C/O: Pain and parathesia of both upper limbs.
Referring Physician: Prof. Dr. Dear Colleague.
Findings:
- Motor Nerve Examination:
 Both Median nerves showed average amplitude of the CMAP with good wave
form, normal conduction velocity, delayed distal latency (4.6 and 5.2 msec), and
normal F wave latency.
 Both Ulnar nerves showed average amplitude of the CMAP with good wave form,
normal conduction velocity, normal distal latency, and normal F wave latency.
- Sensory Nerve Examination:
 Both Median nerves showed normal SNAP with delayed distal latency (4 and 4.2
msec).
 Both Ulnar nerves showed normal SNAP with average distal latency and normal
sensory nerve conduction velocity.
 Superficial radial nerves showed normal SNAP with average distal latency.

Impression:
 Bilateral Carpal Tunnel Syndrome (moderate degree on both
sides more on the left side).
 Normal conduction along both ulnar nerves.
 NO evidence of brachial plexus lesion.
 NO evidenceof peripheral neuropathy.

Thankyou
Dr. Mostafa Al-Aghory

Amplitud
Velocity Distance Area Durate Latency
e Site/Segment MNCV
m/s mm mVms ms mV ms
59.6 17.5 14.4 4.5 Abp-wrist Medianus R
64.8 260 42.9 17.2 13.8 8.5 wrist-elbow
44.9 16.6 12.6 3.6 Adm-wrist Ulnaris R
56.3 220 30.7 16.8 12.1 7.5 wrist-down elbow
56.9 80 30.3 17.1 11.9 8.9 down elbow-up elbow
 Amplitud
Velocity Distance Area Durate Latency
e Site/Segment MNCV
m/s mm mVms ms mV ms
28.4 18.3 6.8 5.2 Abp-wrist Medianus L
69.6 250 22.0 18.6 6.3 8.6 wrist-elbow
31.0 16.1 7.9 4.4 Adm-wrist Ulnaris L
71.2 230 52.6 18.1 10.4 7.6 wrist-down elbow
73.1 80 51.7 18.7 11.2 8.7 down elbow-up elbow
Amplitud
Velocity Distance Area Durate Latency
e Site/Segment SNCV
m/s mm uVms ms uV ms
169.8 5.0 71.4 4.0 wrist-III finger Medianus R
108.4 3.8 31.7 3.1 wrist-V finger Ulnaris R
61.1 330 130.5 4.2 13.3 8.5 elbow-wrist
321.1 4.3 46.3 4.2 wrist-III finger Medianus L
61.0 3.7 57.7 3.4 wrist-V finger Ulnaris L
59.1 330 55.4 3.6 26.5 8.9 elbow-wrist

F F/M amplitude F max latency F min latency F-M latency M latency

% ms ms ms ms
F Wave
0 0.12 ..... 28.5 24.4 4.2 Medianus R
0 0.09 ..... 28.5 24.5 4.1 Ulnaris R
0 0.19 ..... 29.3 24.8 4.5 Medianus L
20 0.1 33.1 28.5 24.4 4.2 Ulnaris L

Motor NCV Me dia nus R F Wa ve Me dia nus R

Ch2
10mV

Ch2 wrist
5mV 27mA

e lbow
35mA

08/08/2017 3:44:59 5ms 08/08/2017

M F3:44:59 10ms
 Se nsory NCV Me dia nus R Motor NCV Ulna ris R

Ch2 wrist
5mV 18mA
Ch2 wrist
500uV 28mA
down e lbow
37mA

up e lbow
33mA

08/08/2017 3:48:57 2ms 08/08/2017 3:51:55 5ms

F Wa ve Ulna ris R Se nsory NCV Ulna ris R

Ch2
10mV

Ch2 wrist
100uV 25mA

e lbow
28mA

08/08/2017
M F3:51:55 10ms 08/08/2017 3:55:02 2ms
Motor NCV Me dia nus L F Wa ve Me dia nus L

Ch2
5mV

Ch2 wrist
5mV 36mA

e lbow
48mA

08/08/2017 3:59:15 5ms 08/08/2017

M F3:59:15 10ms
 Se nsory NCV Me dia nus L Motor NCV Ulna ris L

Ch2 wrist
5mV 23mA
Ch2 wrist
200uV 14mA
down e lbow
52mA

up e lbow
47mA

08/08/2017 4:02:07 2ms 08/08/2017 4:03:04 5ms

F Wa ve Ulna ris L Se nsory NCV Ulna ris L

Ch2
10mV

Ch2 wrist
100uV 22mA

e lbow
24mA

08/08/2017
M F4:03:04 10ms 08/08/2017 4:12:03 2ms
 Electrophysiological Diagnosis Center
For Neurological Disorders
EMG recording Report
Patient Name: Fadya Mohamed Oraby.
Birth Date: 24/08/1963
Recording date: 12/11/2017
Gender: Female.
Patient C/O: Pain and parathesia of the right upper limb.
Referring Physician: Prof. Dr. Sameh Habib.
Findings:
- Motor Nerve Examination:

 Right Median nerve showed average amplitude of the CMAP , normal

conduction velocity, delayed distal latency (8.8 msec) normal F wave
latency.
 Right Ulnar nerve showed average amplitude of the CMAP with good
wave form, normal conduction velocity, normal distal latency, and normal
F wave latency.
- Sensory Nerve Examination:
 Right Median nerve showed normal SNAP with delayed distal latency (6.1
msec).
 Right Ulnar nerve showed normal SNAP with average distal latency and
normal sensory nerve conduction velocity.
 Right Superficial radial nerve showed normal SNAP with average distal
latency.

Impression:
 Right Carpal Tunnel Syndrome (severe degree).
 Normal conduction along the right ulnar nerve.
 NO evidence of brachial plexus lesion.
 NO evidence of peripheral neuropathy.
 Thankyou
Dr. Mostafa Al-Aghory

Amplitud
Velocity Distance Area Durate Latency
e Site/Segment MNCV
m/s mm mVms ms mV ms
7.5 10.6 1.5 8.8 Abp-wrist Medianus R
88.0 220 4.5 13.6 1.7 11.3 wrist-elbow
42.9 13.4 11.2 2.9 Adm-wrist Ulnaris R
70.4 220 40.4 14.9 11.7 6.0 wrist-down elbow
67.2 70 34.7 14.6 11.3 7.1 down elbow-up elbow

Amplitud
Velocity Distance Area Durate Latency
e Site/Segment SNCV
m/s mm uVms ms uV ms
528.4 3.8 23.9 6.1 wrist-III finger Medianus R
337.3 2.7 24.7 2.5 wrist-V finger Ulnaris R
64.6 290 323.7 4.0 1.73 7.0 elbow-wrist

F F/M amplitude F max latency F min latency F-M latency M latency

% ms ms ms ms
F Wave
0 0.22 ..... 30.4 21.7 8.8 Medianus R
0 0.13 ..... 25.8 22.9 2.9 Ulnaris R

Motor NCV Me dia nus R F Wa ve Me dia nus R

Ch2
5mV

Ch2 wrist
5mV 38mA

e lbow
53mA

08/08/2017 4:38:58 5ms 08/08/2017

M 4:38:58
F 10ms
 Se nsory NCV Me dia nus R Motor NCV Ulna ris R

Ch2 wrist
5mV 33mA

Ch2 wrist
200uV 21mA down e lbow
39mA

up e lbow
45mA

08/08/2017 4:54:26 2ms 08/08/2017 4:45:01 5ms

F Wa ve Ulna ris R Se nsory NCV Ulna ris R

Ch2
5mV

Ch2 wrist
200uV 14mA

e lbow
25mA

08/08/2017F 4:45:01 10ms

M 08/08/2017 4:49:04 2ms
 Electrophysiological Diagnosis Center
For Neurological Disorders
EMG recording Report
Patient Name: Rashida Mohamed El-Sayed.
Birth Date: 12/11/1973
Recording date: 12/11/2017
Gender: Female.
Patient C/O: Pain and parathesia of both upper limbs.
Referring Physician: Prof. Dr. M.Insurance.
Findings:
- Motor Nerve Examination:
 Both Median nerves showed average amplitude of the CMAP with good wave
form, normal conduction velocity, delayed distal latency (4.1 msec), and normal F
wave latency.
 Both Ulnar nerves showed average amplitude of the CMAP with good wave form,
normal conduction velocity, normal distal latency, and normal F wave latency.
- Sensory Nerve Examination:
 Both Median nerves showed normal SNAP with delayed distal latency (3.4
msec).
 Both Ulnar nerves showed normal SNAP with average distal latency and normal
sensory nerve conduction velocity.
 Both Superficial radial nerves showed normal SNAP with average distal latency.

- EMG:
EMG examination of Extensor indicis, Extensor digitorum, brachioradialis, flexor carpi
ulnaris, biceps and triceps muscles revealed normal pattern as evidenced by :
 At rest: NO spontaneous activity.
 NO MUPs could be recruited from Extensor indicis and Extensor digitorum muscles (NO
patient volition).

Impression:
 Both Carpal Tunnel Syndrome (mild degree).
 Normal conduction along both ulnar nerves.
 NO evidence of brachial plexus lesion.
  NO evidence of peripheral neuropathy.

Thankyou
Dr. Mostafa Al-Aghory

Amplitud
Velocity Distance Area Durate Latency
e Site/Segment MNCV
m/s mm mVms ms mV ms
14.8 10.8 5.0 4.1 Abp-wrist Medianus L
70.4 220 21.7 12.5 6.6 7.2 wrist-elbow
50.9 13.6 13.5 2.2 Adm-wrist Ulnaris L
64.0 210 34.2 12.6 9.3 5.5 wrist-down elbow
76.8 60 50.2 15.7 11.9 6.3 down elbow-up elbow
Amplitud
Velocity Distance Area Durate Latency
e Site/Segment SNCV
m/s mm uVms ms uV ms
80.2 2.8 57.8 3.4 wrist-III finger Medianus L
220.3 2.4 25.1 2.2 wrist-V finger Ulnaris L
63.7 210 340.4 3.5 21.6 5.5 elbow-wrist
69.5 70 322.0 3.2 48.8 6.5 *****-elbow

F F/M amplitude F max latency F min latency F-M latency M latency

% ms ms ms ms
F Wave
30 0.1 27.0 24.3 21.1 3.1 Medianus L
60 0.11 27.1 24.3 22.0 2.3 Ulnaris L

Motor NCV Me dia nus L F Wa ve Me dia nus L

Ch2
5mV

Ch2 wrist
5mV 25mA

e lbow
24mA

08/08/2017 5:20:35 5ms F 5:11:05 10ms

08/08/2017
M
 Se nsory NCV Me dia nus L Motor NCV Ulna ris L

Ch2 wrist
5mV 18mA

Ch2 wrist down e lbow

200uV 23mA 26mA

up e lbow
26mA

08/08/2017 5:21:43 2ms 08/08/2017 5:14:28 5ms

F Wa ve Ulna ris L Se nsory NCV Ulna ris L

Ch2
5mV

Ch2 wrist
200uV 8mA

e lbow
21mA

*****
24mA

F 5:14:28 10ms
M08/08/2017 08/08/2017 5:17:07 2ms
 Electrophysiological Diagnosis Center
For Neurological Disorders
EMG recording Report
Patient Name: Gehan Soliman Amer.
Birth Date: 21/07/1977
Recording date: 12/11/2017
Gender: Female.
Patient C/O: Pain and parathesia of the right upper limb.
Referring Physician: Prof. Dr. Sameh Habib.
Findings:
- Motor Nerve Examination:

 Right Median nerve showed average amplitude of the CMAP with good
wave form, normal conduction velocity, delayed distal latency (4.1 msec)
normal F wave latency.
 Right Ulnar nerve showed average amplitude of the CMAP with good
wave form, normal conduction velocity, normal distal latency, and normal
F wave latency.
- Sensory Nerve Examination:
 Right Median nerve showed normal SNAP with delayed distal latency (3.2
msec).
 Right Ulnar nerve showed normal SNAP with average distal latency and
normal sensory nerve conduction velocity.
 Right Superficial radial nerve showed normal SNAP with average distal
latency.

Impression:
 Right Carpal Tunnel Syndrome (mild degree).
 Normal conduction along the right ulnar nerve.
 NO evidence of brachial plexus lesion.
 NO evidence of peripheral neuropathy.
Thankyou
Dr. Mostafa Al-Aghory
 Amplitud
Velocity Distance Area Durate Latency
e Site/Segment MNCV
m/s mm mVms ms mV ms
15.2 14.2 4.0 4.1 Abp-wrist Medianus R
78.4 200 30.2 16.1 7.8 6.6 wrist-elbow
27.5 12.9 8.9 2.6 Adm-wrist Ulnaris R
65.0 210 30.4 13.6 9.4 5.8 wrist-down elbow
64.0 60 27.9 13.2 9.1 6.8 down elbow-up elbow

Amplitud
Velocity Distance Area Durate Latency
e Site/Segment SNCV
m/s mm uVms ms uV ms
53.6 2.6 46.4 3.2 wrist-III finger Medianus R
117.5 1.8 52.8 2.3 wrist-V finger Ulnaris R
84.0 290 107.7 2.5 15.7 5.7 elbow-wrist

F F/M amplitude F max latency F min latency F-M latency M latency

% ms ms ms ms
F Wave
14 0.11 24.9 25.0 22.0 3.0 Medianus R
37 0.06 29.4 24.6 21.9 2.7 Ulnaris R

Motor NCV Me dia nus R F Wa ve Me dia nus R

Ch2
5mV

Ch2 wrist
5mV 38mA

e lbow
52mA

08/08/2017 6:02:09 5ms F 6:02:09 10ms

08/08/2017
M
 Se nsory NCV Me dia nus R Motor NCV Ulna ris R

Ch2 wrist
5mV 19mA

Ch2 wrist down e lbow

200uV 28mA 46mA

up e lbow
45mA

08/08/2017 6:13:55 2ms 08/08/2017 6:07:52 5ms

F Wa ve Ulna ris R Se nsory NCV Ulna ris R

Ch2
5mV

Ch2 wrist
200uV 25mA

e lbow
32mA

F 6:07:52 10ms
08/08/2017
M 08/08/2017 6:12:14 2ms