By Corrado Angelini
This booklet presents state-of-the-art info at the pathogenesis, analysis, and remedy of a variety of inflammatory, autoimmune, and idiopathic neuromuscular problems. the outlet part discusses the differential prognosis of got myopathies in response to scientific, electrophysiological, muscle biopsy, and serological standards, with detailed concentrate on the position of electromyography and antibody trying out. all the appropriate medical entities is then mentioned intimately, the insurance together with, for instance, myasthenia gravis, polymyositis, immune-mediated neuropathies, multifocal motor neuropathies, amyotrophic lateral sclerosis, paraneoplastic neuropathies, and diabetic polyneuropathy. transparent advice is supplied on presently on hand remedies, with descriptions of the newest advances in physiotherapy, drug treatment, and respiration care. different beneficial properties of this clinically orientated ebook are the inclusion of many illustrative case displays and contributions through overseas authors from top centers.
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Additional info for Acquired Neuromuscular Disorders: Pathogenesis, Diagnosis and Treatment
3 Imaging of the Muscle Fig. 1 Axial T1-weighted images at the level of the thigh (a, b) and leg (c) showing examples of muscle atrophy (a), hypertrophy (b), and pseudohypertrophy (c). (a) Shows increase of the subcutaneous adipose tissue and diffuse atrophy of all muscle bulks, associated with adipose substitution mainly in the posterior compartment, bilaterally, and at the level of the right vastus intermedius muscle. (b) Shows right quadriceps atrophy and adipose substitution, together with the selective ipsilateral hypertrophic rectus muscle (arrow) which maintains its normal structure.
The spinal accessory nerve is stimulated at the neck where it is superficial so that it can be maximally stimulated with low-intensity pulses, minimizing discomfort and stimulation of other muscles. Recordings can be also made from biceps brachii or deltoid muscles by stimulating musculocutaneous nerve in the axilla or axillary nerve at the Erb point. However, such stimulations are often disturbed by movement artifacts and stimulation/activation of near muscles. Facial muscles have the greatest sensitivity.
24745 13. Liguori R, Fuglsang-Frederiksen A, Nix W et al (1997) Electromyography in myopathy. Neurophysiol Clin 27:200–203 14. Culp WJ, Ochoa J (1982) Abnormal nerves and muscles as impulse generators. Oxford University Press, Oxford 15. Stalberg E, Trontelj JV (1982) Abnormal discharges generated within the motor unit as observed with single-fiber electromyography. In: Culp WJ, Ochoa J (eds) Abnormal nerves and muscles as impulse generators. Oxford University Press, Oxford 16. Buchthal F (1982) Spontaneous electrical activity: an overview.