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art1959

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Jan 17, 2017
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16
Reason
PALS
Diagnosis
01/2017
Country
US
State
Florida
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lecanto
On Jan/25/2017 the Neurologist did another EMG to compare to the one done on 7/20/2016, here is the report, so let me know what you all think. This test is just for left side of body, right side never done.
Summary: Nerve conduction studies of the left arm and leg demonstrate mildly slow conduction velocity in the left peroneal and tibial motor nerves. Left sural sensory amplitude was low with slow conduction velocity. needle examination of the left arm and leg and thoracis paraspinal muscles demonstrated few fibrillation potentials in the tibialis anterior, gastrocnemius, FDI, pronator teres, and triceps muscles. Decreased recruitment, long duration, high amplitude, polyphasic motor units potentials were noted in the left gastrocnemius, pronator teres,triceps and deltoid muscles.
Impression: there is evidence of mild, length dependent, peripheral neuropathy. There is also eveidence of active denervation at two levels of the neuroxis. These findings are of the type seen in a chronic progressive disorder of the motor neuron and/or their axons such as Amyotrophic Lateral Sclerosis. When compared to the study done on 7/20/2016, more active denervation was noted.
that's the report from EMG on the 25th of January this year. With this report at least I have somewhat a better understanding where I'm at.
 
How does the report match up with your clinical presentation?

I bet they'll want to do another EMG.
 
kim, I don't know if they will do another one, maybe in six months but first report did not show denervation back in July 2016. When they did the first one I was talking just fine, no issues by the middle of October 2016 I was speechless, not able to talk. The speech specialist is going to work with me on speaking since they believe that since my voice box and muscles are okay they can get some of my voice back, maybe not like it use to be . I don't know but we will see! I'm willing to try anything that may help. According to the Pulmonary Doctor the report is pretty much on target as far as clinical presentation.
 
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