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  • Semester 5 Modul Dr. SB Myopathy DIF

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    Difitasari Cipta Perdana
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    This document discusses the role of electrodiagnostics in evaluating myopathies. It notes that needle EMG findings in myopathies typically include low amplitude, short duration, polyphasic motor unit action potentials with early recruitment. Normal nerve conduction study results but decreased compound muscle action potential amplitudes may also be seen. Quantitative EMG can provide a more detailed measurement of motor unit action potentials and better indicate waveform duration, which is a sensitive parameter for diagnosing myopathies.

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    Semester 5 Modul dr. SB Myopathy DIF

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    This document discusses the role of electrodiagnostics in evaluating myopathies. It notes that needle EMG findings in myopathies typically include low amplitude, short duration, polyphasic motor unit action potentials with early recruitment. Normal nerve conduction study results but decreased compound muscle action potential amplitudes may also be seen. Quantitative EMG can provide a more detailed measurement of motor unit action potentials and better indicate waveform duration, which is a sensitive parameter for diagnosing myopathies.

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    3 views30 pages

    Semester 5 Modul Dr. SB Myopathy DIF

    Uploaded by

    Difitasari Cipta Perdana
    This document discusses the role of electrodiagnostics in evaluating myopathies. It notes that needle EMG findings in myopathies typically include low amplitude, short duration, polyphasic motor unit action potentials with early recruitment. Normal nerve conduction study results but decreased compound muscle action potential amplitudes may also be seen. Quantitative EMG can provide a more detailed measurement of motor unit action potentials and better indicate waveform duration, which is a sensitive parameter for diagnosing myopathies.

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    of 30

    Electrodiagnostics in Myopathies

    Pembimbing: dr. Subagyo, Sp.KFR-K


    Myopathy
    • Kelainan pada serabut otot karena berbagai
    etiologi
    Myopathy: Sign and Symptom
    Normal EMG?
    Normal CK level?
    Algorithm
    Role of EDx
    NCS Recommendation
    Needle EMG Recommendation
    Edx Recommendation
    NCS Results
    • SNAP: Normal.
    • CMAP: Decreased amplitude with significant
    muscle fiber atrophy. Normal latencies and
    conduction velocities
    Needle EMG Results
    • Classic findings are low amplitude, short
    duration, polyphasic MUAP with early
    recruitment.
    • Resting activity: Abnormal activity depends on
    the type of disorder involved.
    Physiologic Model of Motor Unit in
    Myopathies
    Classic MUAP in Myopathies
    MUAP Recruitment (Low levels of muscle force)
    Resting: Spontaneous Activity
    Fibrillation Potentials
    Myotonic Discharge
    Complex Repetitive Discharges
    TERIMA KASIH
    Quantitative EMG
    • May provide a more detailed measurement of the
    MUAPs
    • Better indication of waveform duration, which is a
    sensitive parameter for diagnosing myopathies.
    • The mean duration is calculated using 20 MUAPs
    and on a screen set with a trigger and delay line.
    • This avoids superimposing MUAPs and falsely
    creating a polyphasic.

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