Guru Nanak Hospital & Research Centre

ESTD. BY-SRI GURU SINGH SABHA (REGD.) MUMBAI

Non-Profit Institution and Member of the Associationof Hospital
Gur Mospital
& S-341, Gandhi Nagar, Bandra (E), Mumba -400 051. Tel.: 4222 7777. Toll Free No.: 18001025052 CERTIFIED
Email: info@gurunanakhospital.com Website: www.gurunanakhospital.com
NABH (Entry Level)

ELECTROMYOGRAPHY REPORT
NERVE CONDUCTION STUDY AND
JAGNARAYAN SINGH Gender: Male Age: 67 years
Patient Name: MR Examination Date: 21/03/24
Referring Physician: DR SUSHIL TANDEL
MOTOR NERVE STUDY
Upper limb:
Bilateral median nerve shows prolonged distal motor latency,
normal CMAP amplitude and reduced conduction velocity.
Lower limb:
BilateralTibial and Peroneal nerve shows normal distal motor latency
Normal CMAP amplitude, reduced conduction velocity.
SENSORY NERVE STUDY
Upper limb: SNAPs
Bilateral median nerve show normal latency with nornmal
Lower limb:
are not recordable.
Bilateral sural and superficial peroneal nerve SNAPs

LATE RESPONSE:
bilateral tibial nerves.
F wave: Normal in bilateral median, prolonged in
H-reflex: prolonged in right and absent in left side
SPONTANEOUS ACTIVITY. NORMAL
EMG STUDY:NEEDLE EMG SHOWSNO QUADRICEPS, LEFT
BILATERAL
MUAPS AND RECRUITMENT IN LEFT TA,
GASTROCNEMIUS MUSCLES.

IMPRESSION: ABNORMAL EMG- NCV STUDY.

neuropathy involving both lower limbs with
Above findings are suggestive of sensory
axonal changes.
investigation)
(Kindly correlate NCV finding clinically and other related

DR.SUSHIL TANDEL
MD(Med) DM (Neuro) DCN(Lon)
CONSULTANT NEUROLOGIST

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A Unit of Guru Nanak Quin Centenary Memorial Hospital Trust
 332 112 uihlo-Popliteal 1000 28An/1ns
76 15.3 Popliteal
4.1 *nble 100026ArmVIs 160nV Aokle
Tornporinture Right Tibial
304 119 360 Auble-Poplitcal 1000 AnVm, 33 145rny Popliteal
15.1
*hblg 1000 hnV1s 22 16.0nV 3.3 Ankle
Tonperature: Loft Tibial
fibula-Poplitsal Hsadof
35.3 102 360 fibulaAiklo-Hssdof 100.0 tn/u 14 72 140 fibuls Hosd
of
*Anhls 100013.5nVus Anklo
Tornporature. Right Perorncal
tula-Poplitcal Hsof
ad
376 fibuls ublo-Hsad
of 1000 13.1 fibuls Hond
of
/blo 100.010.5mVuIs 44nV Aokle
Tonpersturo: Loft Peroncal
Elbun-kzilla
VIrist-Elbwn 100030./1nVs
Elbo
4 VWrist
Tonperaturo Right Median
Elbon-kills
49.5 4,9
Wrict-EMbul 990156uVs 62V B.9 Elbov
4) 44,0 0.3nVms V/rist
Loft Mediar
Iernp M.D. D. Rrnp, (ms) (ms)
CCV ICV Intv. Dist, Lat, Site
StuConduction
dy Dur, Ngrvg Motor
Corrnd
Mctory
Dpntunnt |ufuriy Wapht
Lzaiwr
Doctor
Out n
bilhh |Dato
of 1240109 Iloation Pationt
 Sensory Nerye Conduction Study Dist, Intvl, NCV CCV
Stim. N.D. Temp
Lat.1 Lat.2
Amp. N.D. Arca
(mA)
Sognont (mm) (ms) (m/s) (m/s)
Site
(ms) N.D. (ms)
Tomperaturo:
Median Left
I.0uVms 410 Wrist 3.2
Wrist 3.2 23.3uV
Wrist-Elbow
Ellbow-Axilla

Tomperaturo:
Median Right
75.0 Wrist 30
Wrist 30 265uV 2.6uVms
Wrist-Elbow
Elbow-Axilla

Sural Left Temperature:

92.0 Sural
Sural

Sural Right Tomperaturo:

Sural
100.0 Sural

SupertiCial Left Temperature:

Peroneal 25.0

Sup
Percial Temperature:
Right
Ankle 16.0 *Ankle

F-wave Distance FWCV N.D.

F-Lat. F-Lat.N.D. M Lat. F-M Lat. F-Occurr.
Nerve Side Stim,Site
34.2ms 4.2ms 30.0ms 2 /8 25 %
Median Left Wrist

4.0ms 26.8ms 0 /8 ,0 % k**

Median Right Wrist 30.7 ms
2 /8 ,25 % **
Tibial Left Ankle 64.7ms 4.4ms 60.3ms

Tibial Right Ankle 55.6ms 3.6ms 52,0ms l4 /10,40 %

H-reflex [Tibial R
Nerve Side

Stim.Site Rec.Site
4.8rms M-Amp.Max 3.1mV
M-Latency
41.8ms H-Amp.Max H/M.Ratio
H-Latency

H-reflex [ TibialL
Nerve Side

Stim.Site Rec.Site

M-Latency 6.1ms M-Amp.Max 8,8mV

H-Amp.Max H/M.Ratio
H-Latency

EMG Findings Summary

Ins. Pos. MYO. Normal Low High Int.
Muscle Side |Fibs. Fasc. Poly Dur. Recruit
|Act. Wave Disch. MUP Amp. Amp. Patt.

Quadriceps
Quadriceps R

Tibialis Anterior L

Gastroc. Lateral H

2
 Motor Nerve Conduction Study
Median Left Mcdian Right

Wie!

Etbow
GmA
B1

CI SmVSrns

Peroneal Left Peroneal Right

Ankle Anklc
100mA 100mA
A1

Head of fibula Head of fibula

100mA 100mA
B1

A1 2mVI5ms A1: 2mV!Sms

B1. 2mVI5ms B1: 2mV/Sms

Tibial Left Tibial Right

:Ankle
|A1 100mA
Ankle
10QrnA

.Popliteal
B1 100mA
-Popliteal
100mA

A1 5mV/5ms
B1: 5mVI5ms A1: 10mV/5ms
C1: 10mV/5ms

4
 Sensory Nerve Conduction Study
Median Right
Median Left

V/ist
Wist 75m
A

JA1: 50uVI3ms
A1: 20uVI31ms

Sural Left Sural Right

Sural Sural
92mA
A1 A1

A1: 20uVI3ms
A1: 20uVI3ns

Superficial Per Left Superficial Per Right

25mA Ankle
A1 A1 TOnA

A1: 50uVI3ms
A1: 50uVI3ms
E-wave. Median Right
Median Left

Sn'ms

Tibial Left Tibial Right

1: 5rnVI10ns SmV/1Oms

H-reflex [TibialR H-reflex Tibial L

404A
A1 A1 69 QmA

104A 69.0mA
B1 B1

C1 104m/
69 0mA

|A1 ImV/5n1s
B1 ImVI5ms -A1: 5mV/5ms
B1: 5mV/5ms
CI: Im/5ns C1: 5mV/5ms