Diagnostic Value of Electromyography in Children and Adolescents
| Autor: | Jürgen-Christoph von Kleist-Retzow, Martin Hellmann, Ulrike Schauseil-Zipf, F. Peter Herkenrath, Walter F. Haupt |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Physiology Concordance Neural Conduction Physical examination Electromyography Sensitivity and Specificity Cohort Studies Diagnosis Differential Predictive Value of Tests Physiology (medical) medicine Humans Child Physical Examination Retrospective Studies medicine.diagnostic_test business.industry Age Factors Infant Signal Processing Computer-Assisted Retrospective cohort study Magnetic resonance imaging Normal EMG Neurology Child Preschool Predictive value of tests Physical therapy Female Neurology (clinical) Nervous System Diseases business Cohort study |
| Zdroj: | Journal of Clinical Neurophysiology. 22:43-48 |
| ISSN: | 0736-0258 |
| DOI: | 10.1097/01.wnp.0000151146.91147.a1 |
| Popis: | The diagnostic accuracy in pediatric neurology has been considerably improved by new methods such as magnetic resonance imaging and molecular genetic analysis. However, standard diagnostic techniques continue to play an important role. The authors analyzed the diagnostic value of electromyography (EMG) and nerve conduction studies (NCS) in a retrospective study of 498 pediatric patients. The overall consistency between EMG results and the final clinical diagnosis in all children examined was 98%. In myogenic diseases, the concordance between EMG and clinical findings was lower (80%), because some patients with congenital myopathies showed normal EMG findings in this group. Peripheral neurogenic diseases were in all but one of the cases diagnosed correctly (99.5%). No decrease in diagnostic reliability was found in the younger age group. EMG and NCS examinations have to be adapted to the needs of children by an experienced examiner, but continue to be valuable diagnostic methods in pediatric neurology. |
| Databáze: | OpenAIRE |
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