slipnslide
12-19-2007, 12:28 PM
Hi all,
I usually frequent the Spinal Disorders & Chronic Pain forums. I wanted to run my EMG/NCS results past those of you with PN in case someone might recognize my test results as something that they have been through or know of something similar. Any and all thoughts or comments are welcomed.
Summary and Findings:
The bilateral median and ulnar sensory nerves revealed prolonged peak latency, normal amplitude and decreased conduction velocity. The bilateral radial sensory nerves revealed borderline prolonged peak latency, normal amplitude and normal conduction velocity.
The bilateral ulnar motor nerves revealed normal distal latency, normal amplitude and decreased conduction velocity across the cubital tunnel w/ a drop of > 10m/s.
To assess for polyneuropathy third limb sensory and motor nerve were tested (right peroneal motor and sural sensory). These were WNL.
Monopolar needle EMG was performed in selected bilateral upper extremities, innervated by C5-T1 nerve roots inclusive. No spontaneous activity was seen in any muscles tested in the form of fibrillations, positive sharp waves or fasciculations. Voluntary motor unit morphologies are otherwise normal.
Impression: Inconclusive study. There is new evidence of global sensory slowing in the upper extremities, however the slowing is more pronounced for the median and ulnar nerves and more likely related to CTS and potentially Ulnar Neuropathy at the elbows. The lack of slowing in a third limb (RLE) reduces the likelihood of polyneuropathy as a source. There is no evidence for acute cervical radiculopathy on EMG
I've had continued pain in both shoulders, arms and hands, tingling in both hands and feet, and left hip pain (from an iliac crest autograft) since ACDF C5/6/7 Surgery in June 2006. The hip pain was the only thing I didn't have before the surgery.
Thanks,
Kim
I usually frequent the Spinal Disorders & Chronic Pain forums. I wanted to run my EMG/NCS results past those of you with PN in case someone might recognize my test results as something that they have been through or know of something similar. Any and all thoughts or comments are welcomed.
Summary and Findings:
The bilateral median and ulnar sensory nerves revealed prolonged peak latency, normal amplitude and decreased conduction velocity. The bilateral radial sensory nerves revealed borderline prolonged peak latency, normal amplitude and normal conduction velocity.
The bilateral ulnar motor nerves revealed normal distal latency, normal amplitude and decreased conduction velocity across the cubital tunnel w/ a drop of > 10m/s.
To assess for polyneuropathy third limb sensory and motor nerve were tested (right peroneal motor and sural sensory). These were WNL.
Monopolar needle EMG was performed in selected bilateral upper extremities, innervated by C5-T1 nerve roots inclusive. No spontaneous activity was seen in any muscles tested in the form of fibrillations, positive sharp waves or fasciculations. Voluntary motor unit morphologies are otherwise normal.
Impression: Inconclusive study. There is new evidence of global sensory slowing in the upper extremities, however the slowing is more pronounced for the median and ulnar nerves and more likely related to CTS and potentially Ulnar Neuropathy at the elbows. The lack of slowing in a third limb (RLE) reduces the likelihood of polyneuropathy as a source. There is no evidence for acute cervical radiculopathy on EMG
I've had continued pain in both shoulders, arms and hands, tingling in both hands and feet, and left hip pain (from an iliac crest autograft) since ACDF C5/6/7 Surgery in June 2006. The hip pain was the only thing I didn't have before the surgery.
Thanks,
Kim