Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic Correlations / Edition 2

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Overview

This New Edition delivers, in a straightforward manner, all of the information readers need to understand and interpret electrodiagnostic studies. It emphasizes clinical/neurophysiological correlations and uses a practical, hands-on, interactive approach throughout. With new chapters on electrical safety and the use of EMG in the ICU—and the inclusion of two bonus CDs with over 75 EMG waveforms—this resource continues to be the single source to consult for guidance on the clinical and electrophysiological evaluation of disorders of the peripheral nervous system.

• Features case studies at the end of each chapter.
• Provides a wealth of tables that summarize guidelines for the evaluation of most neuromuscular disorders as well as tables that highlight the results of nerve conduction studies and the electromyography for that particular patient.
• Provides clear, original photographs that emphasize correct needle placement.

• Delivers new chapters on electrical safety (including absolute and relative contraindications for EMG and NCS), the use of EMGs in the ICU, and basic statistics for electrodiagnostic studies
• Includes new bonus CDs with over 70 waveforms, enabling readers to see and hear all of the waveforms discussed in the text.
• Provides new discussions of pediatric EMG.
• Discusses new disorders such as paralytic poliomyelitis caused by West Nile virus.

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Editorial Reviews

From The Critics
Reviewer: Renee M. Pazdan, MD(Walter Reed Army Medical Center)
Description: This is the second edition of a book on the technical aspects of electrodiagnostic medicine and the clinical aspects of neuromuscular disorders. It provides relatively comprehensive coverage of topics while still being concise and manageable to read. The first edition was published in 1997.
Purpose: The authors' stated purpose is to provide a practical book for those in residency or postgraduate training that covers all of the basic concepts that are needed to competently understand and interpret electrodiagnostic studies. This book fills a niche by providing relatively comprehensive coverage of all topics related to electrodiagnostic medicine while still being accessible, rather than a large, unwieldy text that would be used more as a reference.
Audience: This book is written for those studying neurophysiology, specifically electrodiagnostic medicine and neuromuscular diseases. The authors' credentials are excellent and the material is accurate and factual — their authority on the subject is unquestionable. The target audience is residents and fellows in training, though anyone in this field would benefit from the information and illustrations in this book. It can provide a good review for those already practicing electrodiagnostic medicine, as well as serve as a nice reference tool for general neurologists and physiatrists to help them interpret and comprehend within a clinical construct the EMG/NCS's that are performed on their patients by other providers.
Features: Approximately one-third of the book covers fundamentals of EMG/NCS's, including basics as well as more complex techniques and pitfalls/common errors to avoid. The remainder of the book covers clinical-electrophysiologic correlations. A large section of this portion is devoted to focal neuropathies, which are covered very comprehensively. However, other sections such as those on polyneuropathy and myopathy, are given a more cursory overview. Highlights of the book include a plethora of illustrations and photos. Particularly useful are the photos that demonstrate positioning for common nerve conduction studies and anatomy for electromyography. Another unique feature is the CD-ROM which accompanies, and nicely complements, this book. As the authors point out, much of electrodiagnostic medicine is visual and auditory. Though it certainly does not replace the necessary hands-on experience, the CD is an excellent teaching tool to introduce students to the practical aspects of electromyography.
Assessment: Overall, I found this book and accompanying CD of very high quality and utility. I believe it will serve its intended role very well as an educational tool for residents and fellows studying electrodiagnostic medicine. There are few other books that combine the technical and clinical aspects as well in such a concise manner, and though other CDs are available, the combination of 2 in 1 makes this a bargain! The additions made in this second edition are certainly of benefit, with the added CD as the highlight.
From the Publisher
"As in their previous editions, the authors successfully provide a comprehensive guide to performing electrodiagnostic studies. In addition, potential pitfalls of such studies are highlighted and example cases help readers to understand the diagnostic approach to complicated patients. New to this edition are the colorful cross-sectional anatomy illustrations that assist readers in proper needle insertion, online videos of EMG waveforms, and updated information on the advances in the field of neuromuscular and electrodiagnostic medicine since the 2005 edition. As an added bonus, the book is electronically available and provides a mobile resource for busy clinicians and tech-savvy electromyographers.

This is a valuable resource for anyone embarking on a career in neurophysiology and is a must-have in the EMG lab. The material is well organized with handy tables and wonderful illustrations. Whether reading it from cover to cover or using it as a quick reference, readers will be pleased. " - Elizabeth Ann Mauricio, MD(Mayo Clinic Flordia) Doody 4 stars!

"This is the much-awaited edition of what has become a standard textbook. The 2 authors are prominent figures in the field of neuromuscular medicine and have been active in resident and fellow education for many years at University Hospitals Case Medical Center in Cleveland, Ohio.

[...] Although I have read the book at least twice, I often find myself referring to the chapters in [Section 6: Clinical-Electrophysiological Complications] while doing complicated studies. [...] The case examples at the end of the chapters are from the authors' experience. For a reader, the interactive discussion of the cases is very helpful in interpreting one's own cases.[...]

Some welcome new features of this edition are its color images and cross-sectional views of muscles in the EMG section. Moreover, the book is now accessible online online for quick reference. Readers can also listen to EMG sounds online instead of installing a CD, which was not always successful with the second edition.

This is a very well-organized and clearly written book. I would recommend this book to all residents and clinical neurophysiology fellows as well as anyone who interprets nerve conduction studies and performs EMGs."

Siddharta Varma, MD; Muscle &Nerve, Volume 48, Issue 2, page 308, August 2013

Doody's Review Service
Reviewer: Elizabeth Ann Mauricio, MD (Mayo Clinic Florida)
Description: This is a comprehensive review of the clinical approach to neurophysiology. The fundamentals of electrodiagnostic studies are beautifully relayed in an organized and easy-to-read manner. The authors effectively portray both proper technique and interpretation of the electrodiagnostic findings within the context of the history and physical examination of each patient.
Purpose: The purpose is to illustrate the basic concepts needed to perform, understand, and interpret electrodiagnostic studies. This book will serve as a platform upon which the novice will build a greater understanding of neurophysiology and as a valuable reference for the experienced clinician.
Audience: The intended audience includes neurologists in training as well as practicing physicians and experienced electromyographers.
Features: As in their previous editions, the authors successfully provide a comprehensive guide to performing electrodiagnostic studies. In addition, potential pitfalls of such studies are highlighted and example cases help readers to understand the diagnostic approach to complicated patients. New to this edition are the colorful cross-sectional anatomy illustrations that assist readers in proper needle insertion, online videos of EMG waveforms, and updated information on the advances in the field of neuromuscular and electrodiagnostic medicine since the 2005 edition. As an added bonus, the book is electronically available and provides a mobile resource for busy clinicians and tech-savvy electromyographers.
Assessment: This is a valuable resource for anyone embarking on a career in neurophysiology and is a must-have in the EMG lab. The material is well organized with handy tables and wonderful illustrations. Whether reading it from cover to cover or using it as a quick reference, readers will be pleased.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780750674928
  • Publisher: Elsevier Health Sciences
  • Publication date: 3/11/2005
  • Edition description: REV
  • Edition number: 2
  • Pages: 704
  • Product dimensions: 8.80 (w) x 11.10 (h) x 1.40 (d)

Table of Contents

I. Overview of Nerve Conduction Studies and Electromyography

1. Approach to Nerve Conduction Studies and Electromyography

2. Anatomy and Neurophysiology

II. Fundamentals of Nerve Conduction Studies

3. Basic Nerve Conduction Studies

4. Late Responses

5. Blink Reflex

6. Repetitive Nerve Stimulation

III. Sources of Error: Anomalies, Artifacts, Technical Factors and Statistics

7. Anomalous Innervations

8. Artifacts and Technical Factors

9. Basic Statistics for Electrodiagnostic Studies

IV. Detailed Nerve Conduction Studies

10. Routine Upper Extremity, Facial and Phrenic Nerve Conduction Techniques

11. Routine Lower Extremity Nerve Conduction Studies

V. Fundamentals of Electromyography

12. Basic Overview of Electromyography

13. Anatomy for Needle Electromyography

14. Basic Electromyography: Analysis of Spontaneous Activity

15. Basic Electromyography: Analysis of Motor Unit Action Potentials

VI. Clinical-Electrophysiologic Correlations

16. Clinical-Electrophysiologic Correlations: Overview and Common Patterns

Part 1. Common Mononeuropathies

17. Median Neuropathy at the Wrist

18. Proximal Median Neuropathy

19. Ulnar Neuropathy at the Elbow

20. Ulnar Neuropathy at the Wrist

21. Radial Neuropathy

22. Peroneal Neuropathy

23. Femoral Neuropathy

24. Tarsal Tunnel Syndrome

25. Facial and Trigeminal Neuropathy

Part 2. Polyneuropathy

26. Polyneuropathy

Part 3. Motor Neuron Disease

27. Amyotrophic Lateral Sclerosis and its Variants

28. Atypical Motor Neuron Diseases

Part 4. Radiculopathy, Plexopathies and Proximal Neuropathies

29. Radiculopathy

30. Brachial Plexopathy

31. Proximal Neuropathies of the Shoulder and Arm

32. Lumbosacral Plexopathy

33. Sciatic Neuropathy

Part 5. Disorders of Neuromuscular Junction and Muscle

34. Neuromuscular Junction Disorders

35. Myopathy

36. Myotonic Muscle Disorders and Periodic Paralysis Syndromes

VII. Electromyography In Special Clinical Settings

37. Approach to Electrodiagnostic Studies in the Intensive Care Unit

38. Approach to Pediatric Electromyography

VIII. Electronics and Instrumentation

39. Basis of Electricity and Electronics for Electrodiagnostic Studies

40. Electrical Safety and Iatrogenic Complications of Electrodiagnostic Studies

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