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Diabetic thoracic radiculopathy: electrodiagnostic study.

E W Streib, S F Sun, F F Paustian

    Muscle & Nerve
    |July 1, 1986
    PubMed
    Summary
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    Electromyography (EMG) of anterior abdominal wall muscles (AWMS) is a valuable diagnostic tool for thoracic radiculopathy. This easier examination method aids in diagnosing thoracic radiculopathy, especially in patients with gastrointestinal symptoms.

    Area of Science:

    • Neurology
    • Diagnostic Medicine
    • Electrophysiology

    Background:

    • Thoracic radiculopathy diagnosis can be challenging.
    • Electromyography (EMG) is a key diagnostic tool.
    • Anterior abdominal wall muscles (AWMS) and thoracic paraspinal muscles (TPSM) are potential targets for EMG examination.

    Purpose of the Study:

    • To evaluate the diagnostic utility of AWMS EMG in thoracic radiculopathy.
    • To compare the diagnostic value of AWMS EMG with TPSM EMG.
    • To determine if AWMS EMG can differentiate thoracic radiculopathy from other conditions.

    Main Methods:

    • Electromyographic (EMG) examination of anterior abdominal wall muscles (AWMS) and thoracic paraspinal muscles (TPSM).
    • Comparison of EMG findings in patients with thoracic diabetic radiculopathy, lumbar diabetic radiculopathy, diabetes mellitus without radiculopathy, gastrointestinal pain, and musculoskeletal back pain.

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    Main Results:

    • AWMS EMG examination was technically easier than TPSM EMG.
    • All eight patients with thoracic diabetic radiculopathy (T7-T12) showed abnormal AWMS.
    • AWMS EMG was normal in patients with lumbar diabetic radiculopathy, diabetes without radiculopathy, gastrointestinal pain, and musculoskeletal back pain.

    Conclusions:

    • EMG evaluation for thoracic radiculopathy should include AWMS examination.
    • Abnormal AWMS EMG findings are highly suggestive of thoracic radiculopathy.
    • AWMS EMG can be a valuable diagnostic aid for patients with unexplained gastrointestinal symptoms potentially related to thoracic radiculopathy.