I started 4 months ago with weakness in my left hand, particularly my "pinch grip." I now have muscle atrophy in the thenar muscle and on the pinky side of my hand. I also have twitching on the left and right arms, some minor twitching in other parts of the body including the face and tongue. I am having trouble getting a neurologist appointment, the soonest is 4 months from now. I'll need psychiatric care well before then.
EMG.......
All nerve conduction studies within normal limits
Needle eval of left deltoid showed increased insertional activity and increased spontaneous activity. The left 1syDortInt muscle showed moderately increased spontaneous activity. The left Abd Poll Brev muscle showed moderately increased spontaneous activity. All remaining muscles showed no evidence of electrical instability.
Impression:
Abnormal study:
1) There is evidence of a left median neuropathy with a reduction of amplitude with proximal stimulation, which may be reloated to technical factors. The finding does NOT correlate with the clinical diagnosis of carpal tunnel syndrome.
2) Left ulnar sensorimotor testing is normal.
3) Upon needle examination portion of the exam, denervation potentials were observed in the left deltoid, abductor pollicis and the 1st dorsal interosseous muscles. Cervical paraspinal muscles did not reveal any abnormal activity. These denervation potentials may be related to cervical spine radiculopathy, but the diagnosis is not confirmed here.
EMG.......
All nerve conduction studies within normal limits
Needle eval of left deltoid showed increased insertional activity and increased spontaneous activity. The left 1syDortInt muscle showed moderately increased spontaneous activity. The left Abd Poll Brev muscle showed moderately increased spontaneous activity. All remaining muscles showed no evidence of electrical instability.
Impression:
Abnormal study:
1) There is evidence of a left median neuropathy with a reduction of amplitude with proximal stimulation, which may be reloated to technical factors. The finding does NOT correlate with the clinical diagnosis of carpal tunnel syndrome.
2) Left ulnar sensorimotor testing is normal.
3) Upon needle examination portion of the exam, denervation potentials were observed in the left deltoid, abductor pollicis and the 1st dorsal interosseous muscles. Cervical paraspinal muscles did not reveal any abnormal activity. These denervation potentials may be related to cervical spine radiculopathy, but the diagnosis is not confirmed here.