Falsos negativos, falsos positivos e controvérsias no diagnóstico neurofisiológico das radiculopatias
DOI:
https://doi.org/10.11606/issn.2317-0190.v3i1a101986Keywords:
Neurophysiology, Radiculopathy, SpineAbstract
Although the radiculopathies are one of the most frequently conducted pathologies to the Eletroneuromyography (ENMG) realization, its diagnosis is not always neurophysiologically confirmed and many patients that have got irradiated pain show normal survey results. There are also controversies among the neurophysiologists themselves as to the several techniques available for diagnosis, concerning its utilization validity. This article aims to discuss the mechanisms involved in the radiculopathies neurophysiologic evaluation and its relationship to the existing patologies at the vertebral column and at the surrounding muscles and to delimitate its utilization advantages and limits.
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Aminoff MJ, Goodin DS, Parry GJ, Barbaro NM, Weinstein PR, Rosenblum ML. Electrophysiologic evaluation of lumbosacral radiculopathies: electromyography, late responses, and somatosensory evoked potentials. Neurology. 1985;35(10):1514-8. Doi: https://doi.org/10.1212/wnl.35.10.1514
Benecke R, Conrad B. The distal sensory nerve action potential as a diagnostic tool for the differentiation of lesions in dorsal roots and peripheral nerves. J Neurol. 1980;223(4):231-9. Doi: https://doi.org/10.1007/BF00313337
Dumitru D. Radiculopathies. In: Electrodiagnostic medicine. Philadelphia: Hanley & Belfus; 1995. p. 523-584.
Johnson EW, Stockin R, La Ban MM. Use of electrodiagnostic examination in an university hospital. Arch Phys Med Rehabil. 1965;46:575-578.
Johnson EW, Melvin JL. Value of electromyography in lumbar radiculopathy. Arch Phys Med Rehabil. 1971;52(6):239-43.
Advances in electrodiagnosis. In: Kottke FJ, Amate EA. Clinical advances in physical medicine and rehabilitation. Pan American Health Organization; 1991. p. 101-118.
McComas AJ. The double crush syndrome. In: McComas AJ. Neuromuscular function and disorders. Butterworths; 1977. p. 253-262. Doi: https://doi.org/10.1016/B978-0-407-00058-2.50032-2
Oudenhoven RC. The role of laminectomy, facet rhizotomy, and epidural steroids. Spine. 1979;4(2):145-7. Doi: https://doi.org/10.1097/00007632-197903000-00009
Parry GJ. Diseases of spinal roots. In: Dick PJ, Thomas PK. Peripheral Neuropathy. Philadelphia: WB Saunders Company; 1993. p. 899-910.
Wilbourn AJ, Aminoff MJ. AAEE minimonograph #32: the electrophysiologic examination in patients with radiculopathies. Muscle Nerve. 1988;11(11):1099-114. Doi: https://doi.org/10.1002/mus.880111102
Radiculopathies. In: Brown WF, Bolton CF. Clinical electromyography. Boston: Butterworth-Heinemann; 1993. p. 175-210.
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