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Nerve conduction studies are used mainly for evaluation of paresthesias (numbness, tingling, burning) and/or weakness of the arms and legs. The type of study required is dependent in part by the symptoms presented. A physical exam and thorough history also help to direct the investigation.
Electrodiagnostics – electromyography (EMG) and nerve conduction study (NCS). In usual CIDP, the nerve conduction studies show demyelination. These findings include: [citation needed] a reduction in nerve conduction velocities; the presence of conduction block or abnormal temporal dispersion in at least one motor nerve;
Nerve conduction studies will show absent or reduced sensory nerve conduction action potentials in the upper and lower limbs with preserved conduction velocity. Motor nerve action potentials and conduction are usually unaffected, but in a subset of cases may have limited dysfunction.
Nerve conduction studies and electromyography are commonly used to evaluate large myelinated sensory and motor nerve fibers, but are ineffective in diagnosing small fiber neuropathies. Quantitative sensory testing (QST) assesses small fiber function by measuring temperature and vibratory sensation. Abnormal QST results can be attributed to ...
Repetitive nerve stimulation is a variant of the nerve conduction study where electrical stimulation is delivered to a motor nerve repeatedly several times per second. By observing the change in the muscle electrical response (CMAP) after several stimulations, a physician can assess for the presence of a neuromuscular junction disease , and ...
Nerve conduction studies. Nerve conduction velocity is just one of many measurements commonly made during a nerve conduction study (NCS). The purpose of these studies is to determine whether nerve damage is present and how severe that damage may be. Nerve conduction studies are performed as follows:
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