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DOI: 10.1055/a-0993-6459
Elektroneurografische und elektromyografische Diagnostik in der Neuropädiatrie
Electromyography and Electro-neurography in the Neuropediatric Diagnostic ProcessZusammenfassung
Die elektromyografische und elektroneurografische Untersuchung des peripheren Nervensystems ist integraler Bestandteil der neuropädiatrischen und neurologischen Diagnostik. In diesem Artikel wollen wir zeigen, wie durch den systematischen und strukturierten Einsatz von neurophysiologischen Methoden gewisse neuropädiatrische Krankheitsbilder erkannt und diagnostiziert werden können oder die Richtung der weiteren Abklärungen festgelegt werden kann.
Es werden zunächst die gängigen Methoden der Elektroneurografie und Elektromyografie beschrieben und dann in einer Serie von 6 Patienten mit neuromuskulären Erkrankungen respektive zentralen motorischen Störungen der Einsatz der neurophysiologischen Funktionsdiagnostik dargestellt. Dabei werden Patienten aus dem ganzen Altersspektrum der Neuropädiatrie vorgestellt.
Abstract
Electromyography and electro-neurography are important technics in the neuropediatric and neurologic diagnostic process. In this article we show, how these methods can be used in a systematic and structured way in order to diagnose certain neuropediatric diseases or in order to guide the further diagnostic process. First the common techniques are presented and the specific aspects for the paediatric patients are described. In the second part of the article the systematic usage of the common electromyography and electro-neurography techniques are demonstrated by six case reports with patients from the complete paediatric age spectrum.
Keywords
Electromyography - electroneurography - nerve conduction studies - paediatric - infant - toddler - developmentPublication History
Article published online:
09 September 2019
© Georg Thieme Verlag KG
Stuttgart · New York
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Literatur
- 1 Bienfait HM, Verhamme C, van Schaik IN. et al. Comparison of CMT1A and CMT2: similarities and differences. J Neurol 2006; 253: 1572-1580
- 2 Henderson RD, McCombe PA. Assessment of Motor Units in Neuromuscular Disease. Neurotherapeutics 2017; 14: 69-77 01
- 3 Husain AM, Altuwaijri M, Aldosari M. Krabbe disease: neurophysiologic studies and MRI correlations. Neurology 2004; 63: 617-620
- 4 Raimbault J. Les conduction nerveuses chez lenfant normal: Etude. Expansion scientifique francaise 1988
- 5 Karle KN, Schule R, Klebe S. et al. Electrophysiological characterisation of motor and sensory tracts in patients with hereditary spastic paraplegia (HSP). Orphanet J Rare Dis 2013; 8: 158
- 6 Kimura J, Butzer JF. F-wave conduction velocity in Guillain-Barre syndrome. Assessment of nerve segment between axilla and spinal cord. Arch Neurol 1975; 32: 524-529
- 7 Malliopoulos X, Maisonneuve B, Vassel C. Diagnosis of a Friedreich's ataxia: contribution of electrophysical explorations. Arch Pediatr 2007; 14: 1431-1434
- 8 Manganelli F, Pisciotta C, Dubbioso R. et al. Electrophysiological characterisation in hereditary spastic paraplegia type 5. Clin Neurophysiol 2011; 122: 819-822
- 9 Manganelli F, Pisciotta C, Reilly MM. et al. Nerve conduction velocity in CMT1A: what else can we tell?. Eur J Neurol 2016; 23: 1566-1571 DOI: 10.1111/ene.13079. Epub 2016 Jul 14.
- 10 Moser HW. Peripheral nerve involvement in Krabbe disease: a guide to therapy selection and evaluation. Neurology 2006; 67: 201-202
- 11 Mulroy E, Pelosi L, Leadbetter R. et al. Peripheral nerve ultrasound in Friedreich ataxia. Muscle Nerve 2018; 57: 852-856 05
- 12 Matthew Pitt. Paediatric Electromyography. Oxford University Press; 2018
- 13 Vargiami E, Papathanasiou E, Batzios S. et al. Neuroradiological, neurophysiological and molecular findings in infantile Krabbe disease: two case reports. Balkan J Med Genet 2016; 19: 85-90
- 14 Buchthal F, Guld C, Rosenfalck P. Action potential parameters in normal human muscle and their dependence on physical variables. Acta Physiol Scand 1954; 32: 200-218
- 15 Huang C, Wang C, Hwang I. Characterization of the mechanical and neural components of spastic hypertonia with modified H reflex. J Electromyogr Kinesiol 2006; 16: 384-391 Epub 2005 Oct 25
- 16 Renault F, Fedida A. Les signes électromyographic précoces de la dystrophie myotonic congénitale. Neurophysiol Clin 1991; 21: 201-211
- 17 WHO Motor Development Study: Windows of achievement for six gross motor development milestones. ActaPaediatricaSupplement 2006; 450: 86-95