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Myasthenia Gravis: Diagnostic Tests

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The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...

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Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation

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Is electrodiagnosic testing for polyneuropathy overutilized?

Elliot B Bodofsky¹, Gregory T Carter², John D England³

¹Department of Physical Medicine and Rehabilitation, Cooper University Health Care, 3 Cooper Plaza, Camden, New Jersey, 08103, USA.

|November 19, 2016

Summary

This summary is machine-generated.

Electrodiagnostic (EDx) testing is appropriate for most patients presenting with new signs and symptoms of distal symmetric polyneuropathy (DSP). Studies show EDx testing frequently aids in diagnosis, management, and understanding pathology for DSP patients.

Keywords:

diagnosis electrodiagnosis neuromuscular disease polyneuropathy utilization

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Area of Science:

Neurology
Clinical Electrophysiology

Background:

Distal symmetric polyneuropathy (DSP) is a common clinical problem.
Electrodiagnostic (EDx) testing is frequently utilized for suspected DSP.

Purpose of the Study:

To evaluate the utility and appropriateness of EDx testing in patients with suspected DSP.
To address recent assertions questioning the yield of EDx testing in DSP.

Main Methods:

Review of peer-reviewed literature on EDx testing for DSP.
Analysis of studies supporting and questioning the use of EDx in DSP.

Main Results:

Most studies support the use of EDx testing for suspected DSP.
EDx testing often changes diagnosis and management.
EDx provides insights into pathology, severity, and prognosis.

Conclusions:

EDx testing is appropriate for the majority of patients with new DSP symptoms.
Evidence supports the broad utility of EDx testing in DSP evaluation.