Electromyography | Nerve conduction studies | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Spontaneous activity | Motor units | Interference pattern | DML (ms) | MCV (M/s) | CMAP (mV) | SNAP (Amplitude) | |||||||||
1 Month: | |||||||||||||||
Left biceps brachii, right tib ant, biceps femoris and rectus femoris | Profuse fibrillations and PSW | No motor units seen | Left brachial plexus | Muscle twitches from pectorals and deltoid | |||||||||||
Left pectoralis | Some fibrillations | Infrequent burst of normal motor units | Left median | No response | Absent | ||||||||||
Left radial | Absent | ||||||||||||||
Left deltoid | Some fibrillations | Occasional motor units | Right lat pop | No response | |||||||||||
Left APB and FDIO | Profuse fibrillations and PSW | No motor units seen | |||||||||||||
5 Months: | Left median | No response | Absent | ||||||||||||
Left radial | Absent | ||||||||||||||
Left EDC, left and right tib ant | Profuse fibrillations and PSW | No motor units seen | Right and left lat pop | No response | |||||||||||
Right rectus femoris | Few Fibrillations | Highly complex motor units | Right and left sural | Absent | |||||||||||
24 Months | |||||||||||||||
Left EDC | Nil. | High firing and large units | Reduced 3 mV | Left brachial plexus- biceps | 8.0 | ||||||||||
Left APB | Few fibrillations | Polyphasia and complex units | Reduced 1 mV | Left median | 4.5 | 32 (E–W) | 0.9 | Absent | |||||||
Left FDIO | Some fibrillations and PSW | No motor units seen | Left ulnar and radial | Absent | |||||||||||
Right rectus femoris | Nil. | High firing and large units | Reduced 3 mV | ||||||||||||
Left tib ant | Fibrillations | No motor units seen | |||||||||||||
33 Months: | |||||||||||||||
Left FDIO | Few fibrillations | A single unit | Discrete | Left median | 4.4 | 3.8 | Absent | ||||||||
Right tib ant | Nil | Few complex units | Reduced 1–2 mV | Left ulnar | 5.1 | 0.08 | Absent | ||||||||
Right post tib | 8.5 | ||||||||||||||
Right lat pop | 3.8 | 0.4 | |||||||||||||
60 Months: | |||||||||||||||
Left tib ant | Patchy areas of fibrillations and PSW | High firing polyphasic units | Reduced 3–4 mV | Left median | 3.8 | 30 (E–W) | 4.7 | 6 μV | |||||||
Left sural | Absent | ||||||||||||||
Left lat pop | 4.6 | 1.3 |
APB=Abductor pollicis brevis; FDIO=first dorsal interosseous; Tib ant=tibialis anterior; EDC=extensor digitorum communis; PSW=positive sharp waves; lat Pop=lateral popliteal nerve; Post tib=posterior tibial.