Related Experiment Video
Updated: Aug 9, 2026

Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
Published on: September 13, 2015
Radial nerve repetitive stimulation in myasthenia gravis
Adriana Petretska1, Randa Jarrar, Devon I Rubin
1Department of Neurology, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, Florida 32224, USA. petretska.adriana@mayo.edu
Abstract:
The purpose of this study was to compare the diagnostic yield of repetitive radial nerve stimulation (RNS) while recording from extensor indicis proprius (EIP) to other commonly used muscle-nerve combinations in patients with myasthenia gravis (MG). Radial RNS with recording from EIP was performed in 20 controls and 20 patients with MG. It revealed an abnormal decrement at rest in 35% of patients compared to 11% with ulnar nerve stimulation, 64% with spinal accessory nerve stimulation, and 74% with facial nerve stimulation. Radial-EIP RNS is a reliable technique in the evaluation of MG and appears more sensitive than ulnar nerve RNS.
More Related Videos
Related Concept Videos
Myasthenia Gravis: Diagnostic Tests
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
Myasthenia Gravis: Overview and Treatment
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which leads...
Myasthenia Gravis ll: Pathophysiology
Muscle Stimulation Frequency
Wave summation
At low firing rates, motor neurons induce individual twitch contractions in muscle fibers. These twitches...
Motor Unit Stimulation
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...
Disorders of the Skeletal Muscle
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...

