Fasciculations and their F-response revisited: high-density surface EMG in ALS and benign fasciculations

Autor: Helenius J. Schelhaas, Ilse M.P. Arts, Dick F. Stegeman, Bert U. Kleine, Werner A. Boekestein, Machiel J. Zwarts
Přispěvatelé: Kinesiology, Research Institute MOVE
Rok vydání: 2012
Předmět:
Zdroj: Clinical Neurophysiology, 123, 2, pp. 399-405
Kleine, B U, Boekestein, W A, Arts, I M, Zwarts, M J, Schelhaas, H J & Stegeman, D F 2012, ' Fasciculations and their F-response revisited: High-density surface EMG in ALS and benign fasciculations ', Clinical Neurophysiology, vol. 123, no. 2, pp. 399-405 . https://doi.org/10.1016/j.clinph.2011.06.032
Clinical Neurophysiology, 123, 399-405
Clinical Neurophysiology, 123(2), 399-405. International Federation of Clinical Neurophysiology
ISSN: 1388-2457
DOI: 10.1016/j.clinph.2011.06.032
Popis: Objective: To compare the prevalence of fasciculation potentials (FPs) with F-responses between patients with amyotrophic lateral sclerosis (ALS) and patients with benign fasciculations. Methods: In seven patients with ALS and seven patients with benign fasciculations, high-density surface EMG was recorded for 15. min from the gastrocnemius muscle. Template matching was used to search for pairs of FPs with a repetition within 10-110. ms. Results: Interspike interval (ISI) histograms were constructed from 282 pairs of benign fasciculations and from 337 FP pairs in ALS. Peaks attributable to F-waves were found at latencies of 32. ms (benign) and 35. ms (ALS). Five patients with benign fasciculations and four patients with ALS had FPs with F-waves. Conclusions: F-waves of FPs occur in both conditions - therefore they are not diagnostically helpful. Significance: F-waves confirm the distal origin of FPs for an individual axon. The occurrence of these FPs in a benign condition suggests that the generation of ectopic discharges in the distal axons is not specific to progressive neurodegeneration. © 2011 International Federation of Clinical Neurophysiology.
Databáze: OpenAIRE