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Nerve conduction studies - RACGP

ClinicalWilliam HuynhMatthew C Kiernan Nerve conduction studiesKeywords: Nerve conduction studies ; electrodiagnosis; electromyography; peripheral neuropathy; Nerve disordersNerve conduction studies (NCS) and needle electromyography (EMG) are collectively termed clinical neurophysiology . They enable the clinician to detect signs that cannot be confirmed by neurological examination alone and can guide diagnosis and treatment. Indications Clinical neurophysiology aids diagnosis of disorders of the peripheral nervous system (Table 1). Testing helps to: localise the site or level of the lesion; determining if the pathology involves the peripheral Nerve , neuromuscular junction, plexus, Nerve root or anterior horn cells identify the pathophysiology, in particular distinguishing axonal loss from demyelination diagnose mononeuropathies (eg.)

conduction velocity (m/s) – calculated from the distance between stimulation and recording points, divided by latency (reflects integrity of the myelin sheath important for impulse conduction, and is reduced in demyelinating processes). Late responses

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