Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice

by Jun Kimura M.D.

Overview

Building on the author's personal experience in working with fellows and residents in the electromyography laboratory, this volume is the definitive reference in the field. It is intended for clinicians who perform electrodiagnostic procedures as an extension of their clinical examination, and will be of value to neurologists and physiatrists who are interested in neuromuscular disorders and noninvasive electrodiagnostic methods, particularly those practicing electromyography (EMG). The book provides a comprehensive review of most peripheral nerve and muscle diseases, including specific techniques and locations for performing each test. Divided into two major sections, the first addresses the basics of electrodiagnosis, including information on anatomy and physiology, techniques for nerve conduction studies, and discussions of the blink reflex and H-reflex, etc. The second section presents each neuromuscular disorder, covering clinical aspects and extensive information on the distinctive electrophysiological findings typical of the disease. New for this edition: thorough updating of all chapters with extensive new references; entirely new sections on magnetic stimulation, human reflexes, late responses, quantitative EMG, motor unit number estimate, threshold electrotonus, and pediatric electrodiagnosis; consolidated yet comprehensive coverage of periperhal, as well as CNS studies, offering a practical approach for problem-solving; ample space allotted for clinical discussion.

Product Details

ISBN-13:	9780199880959
Publisher:	Oxford University Press
Publication date:	03/15/2001
Sold by:	Barnes & Noble
Format:	eBook
File size:	24 MB
Note:	This product may take a few minutes to download.

About the Author

Dr. Kimura received a Bachelor of Technology degree in 1957 and MD in 1961 from Kyoto University in Japan. He moved to the United States as a Fulbright scholar in 1962 for residency training in neurology and fellowship in electrophysiology at the University of Iowa. He taught at the University of Manitoba in Canada, University of Iowa in the USA, Kyoto University in Japan and Tiantan Hospital in China. He has published more than 500 original articles, 70 book chapters and 10 books in neurology and electrophysiology. He has served as President of American Association of Electrodiagnostic Medicine (AAEM), Japanese Society of Clinical Neurophysiology (JSCN), Japanese Society of Neurology (JSN), International Federation of Clinical Neurophysiology (IFCN) and the World Federation of Neurology (WFN), and as Editor in Chief of Muscle & Nerve. He holds an honorary membership in 22 national societies of neurology and neurophysiology. His current professional titles include Professor Emeritus, Kyoto University in Japan and Professor of Neurology, University of Iowa in the USA.

Table of Contents

Part I: Basics of Electrodiagnosis
Chapt 1: Anatomic Basis for Localization
Chapt 2: Electrical Properties of Nerve and Muscle
Chapt 3: Electronic Systems

Part II: Nerve Conduction Studies
Chapt 4: Anatomy, Physiology and Pathology of the Peripheral Nerve and Types of Nerve Pathology
Chapt 5: Principles of Nerve Conduction Studies
Chapt 6: Assessment of Individual Nerves

Part III: Late Response, Reflex and Other Method
Chapt 7: The F wave and the A wave
Chapt 8: Studies of the Facial Nerve and the Blink Reflex
Chapt 9: H, T and Masseter Reflexes, and Silent Period
Chapt 10: Other Techniques to Assess Nerve Function
Chapt 11: Facts, Fallacies and Fancies of Nerve Conduction Techniques

Part IV: Electromyography
Chapt 12: Anatomy and Physiology of the Skeletal Muscle
Chapt 13: Electromyography and Other Measures of Muscle Function
Chapt 14: Types of Electromyographic Abnormalities
Chapt 15: Examination of Non Limb Muscles
Chapt 16: Single-Fiber and Macro Electromyography

Part V: Neuromuscular Transmission and Muscle Excitability
Chapt 17: Anatomy and Physiology of the Neuromuscular Junction
Chapt 18: Repetitive Nerve Stimulation and Exercise Tests

Part VI: Somatosensory and Motor Evoked Potential and Monitoring Procedures
Chapt 19: Somatosensory Evoked Potential
Chapt 20: Motor Evoked Potentials
Chapt 21: Intraoperative Monitoring

Part VII: Disorders of the Spinal Cord and Peripheral Nervous System
Chapt 22: Diseases of the Spinal Cord
Chapt 23: Radiculopathies and Plexopathies
Chapt 24: Polyneuropathies and Mononeuropathies Multiplex
Chapt 25: Mononeuropathies and Entrapment Syndromes

Part VIII: Disorders of Neuromuscular Junction, Muscle Diseases, and Abnormal Muscle Activity
Chapt 26: Myasthenia Gravis, Myasthenic Syndrome and Related Disorders
Chapt 27: Myopathies
Chapt 28: Disorders Characterized by Abnormal Muscle Activities

Part IX: Interpretation of Study Results
Chapt 29: Studies for the Pediatric and Geriatric Population
Chapt 30: Data Analyses and Reporting

Part X: Appendices
Appendix 1: Myotome, Normal Values for Nerve Conduction Studies and Case Descriptions for EMG Files
Appendix 2: Fundamentals of Electronics
Appendix 3: Historical Review
Appendix 4: AANEM Glossary of Terms in Clinical Electromyography

Editorial Reviews

"This marvelously well written book is very easy to read. It contains more than 1200 additional up-to-date references, excellent diagrams, illustrations, and many useful tables. This book obviously is the definitive text in the field of electromyography and should remain for some time to come." -Electroencephalography and Clinical Neurophysiology, 1990, 76: 90-94

"Dr. Kimura's book is the most comprehensive in electrodiagnosis. I have routinely encouraged all of our fellows to read it from cover to cover. I have frequently used it as a reference and recommend it to all electromyographers and clinicians interested in neurophysiology and neuromuscular disorders." - Neurology, May 1990, 40: 869

From the Publisher

Dr. Kimura's book is the most comprehensive in electrodiagnosis. I have routinely encouraged all of our fellows to read it from cover to cover. I have frequently used it as a reference and recommend it to all electromyographers and clinicians interested in neurophysiology and neuromuscular disorders.

Neurology

This marvelously well written book is very easy to read. It contains more than 1200 additional up-to-date references, excellent diagrams, illustrations, and many useful tables. This book obviously is the definitive text in the field of electromyography and should remain for some time to come.
—(Electroencephalography and Clinical Neurophysiology)

Neurophysiology

This volume is based on Kimura's (neurology, U. of Kyoto; U. of Iowa) research and experience with the applications of clinical electrophysiologic techniques. The discipline of electrodiagnosis is tracked from its historical roots to the latest techniques, with an explanatory background of the clinical, physiologic, anatomic, and pathologic foundations of the methods. This revised edition includes six completely rewritten chapters, two rewritten appendices, and 1,200 additional references selected from some 2,500 recent publications. Most other sections underwent substantial updating and clarification. For students and diagnosticians. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Booknews

Reviewer: Kathleen D. Kennelly, MD, PhD (Mayo Clinic Florida)
Description: This is the fourth edition of a comprehensive review of the techniques used in electrodiagnosis and their usefulness in diagnosing diseases of the peripheral nervous system. Special features include the normative data and description of abnormalities in certain diseases in the appendixes, definitions of terms used in electrodiagnosis, and a DVD that contains waveforms. The third edition was published in 2001.
Purpose: The purpose is to provide an update of current practice and assist readers in electrophysiological problem-solving. The new data include more information on the pediatric and geriatric populations and techniques such as intraoperative monitoring. Although there are other books on electrophysiology, this one meets its objectives in a concise and well-organized fashion, making it an excellent reference.
Audience: The author intends this book for clinicians who perform electrodiagnostic procedures. It can be used as a quick guide for beginning electromyographers (for anatomical location or reviewing a technique), but it also provides in-depth discussions and references for advanced practitioners. Dr. Kimura is a renowned authority on electromyography and electrodiagnosis who has made many contributions to the field and is an excellent teacher and clinician.
Features: The book is very well organized. It starts with the basic principles of electrodiagnosis including physiology and anatomy as well as equipment set up, techniques, and practical applications. It discusses the intricacies of both nerve conduction studies and electromyography. There are also chapters on other procedures such as somatosensory and motor evoked potentials and intraoperative monitoring. It describes not only the techniques, but also what might be found in normal individuals as well as results for different disease entities. The appendixes are very easy to refer to and the DVD adds extra value. The main shortcoming is the quality of some of the printed waveforms, which are not clear in some cases.
Assessment: This is a very useful book, not only for those training in neurophysiology or studying for an exam, but also as a reference in the lab when performing tests and reviewing results. I like the fact that it starts with the basics and then builds upon them. I am a great fan of the previous editions, but I think this update has excellent added features and sections making it a valuable tool.

Doody's Review Service