Buschbacher's Manual of Nerve Conduction Studies

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Buschbacher's Manual of Nerve Conduction Studies

Third Edition

Authors

Dinesh Kumbhare, MD, MSc

Lawrence Robinson, MD

Ralph Buschbacher, MD

Description

"Overall, this is an excellent book to have at the bedside or in the lab for a quick reference. The statistic junkies out there will love it and use it daily. The book is small enough to be used in the lab or taken on portable studies…[A] great reference book for both physicians and technologists alike. I recommend it highly."

--The Neurodiagnostic Journal

The gold standard in many EMG labs, this manual is a practical working reference for performing a wide variety of common nerve conduction studies. It provides both practicing clinicians and trainees with an impressive database of reference values they can use to interpret nerve conduction results with confidence. The third edition is revised to deliver an up-to-date set of reference values that take into account age, sex, height, and body mass index for a wide range of demographic groups. Two new authors bring a novel clinical perspective to the book along with valuable tips and pearls to help the busy electromyographer conduct more effective studies and make a more informed diagnosis.

The third edition includes updated nomenclature and methodology for conducting nerve conduction tests along with supportive evidence to bolster all recommendations. New illustrations and diagrams supplement precise descriptions of electrode placements and study techniques. Additionally, the authors codify the acceptable differences in latency, amplitude, and nerve conduction velocity between nerves of the same or opposite limbs to foster a more precise diagnosis. Recently updated references and suggested readings for each study provide the opportunity for more in-depth learning.

For determining reference values for any patient, or for review of a specific nerve conduction technique, this third edition of Buschbacher's Manual of Nerve Conduction Studies is essential for physicians and technologists alike.

Key Features:

New references, technique descriptions, and drawings bring the classic manual up to date
Provides clinical pearls and tips for performing each study
A new Appendix covers common anomalous innervations such as the Martin-Gruber Anastomosis
Offers a current, comprehensive set of reference values for clinical use
Discusses advantages and pitfalls of alternative techniques
Includes schematics to illustrate optimal electrode placement and typical waveform appearance

Contents

Preface

Introduction

1. Upper Limb/Brachial Plexus Motor Nerve Studies

Axillary motor nerve to the deltoid

Long thoracic motor nerve to the serratus anterior

Median Nerve

Median motor nerve to the abductor pollicis brevis

Median motor nerve to the flexor carpi radialis

Median motor nerve (anterior interosseous branch) to the pronator quadratus

Median motor nerve to the pronator teres

Median motor nerve to the 1st lumbrical

Median motor nerve to the 2nd lumbrical (see also ulnar motor nerve to the palmar interosseous)

H-reflex to the flexor carpi radialis

Musculocutaneous motor nerve to the biceps brachii

Phrenic motor nerve to the diaphragm

Radial Nerve

Radial motor nerve to the extensor carpi ulnaris and brachioradialis

Radial motor nerve to the extensor digitorum

Radial motor nerve to the extensor indicis: surface recording

Radial motor nerve to the extensor indicis: needle recording

Suprascapular motor nerve to the supraspinatus and infraspinatus

Thoracodorsal motor nerve to the latissimus dorsi

Ulnar Nerve

Ulnar motor nerve to the abductor digiti minimi

Ulnar motor nerve to the palmar interosseous (see also median motor nerve to the 2nd lumbrical)

Ulnar motor nerve to the 1st dorsal interosseous

2. Upper Limb Sensory and Mixed Nerve Studies

Lateral antebrachial cutaneous sensory nerve

Medial antebrachial cutaneous sensory nerve

Median Nerve

Median sensory nerve to the second and third digits

Median palmar cutaneous sensory nerve

Posterior antebrachial cutaneous nerve

Radial sensory nerve to the dorsum of the hand

Ulnar Nerve

Ulnar dorsal cutaneous sensory nerve

Ulnar sensory nerve to the fifth digit

Comparative Studies

Median and radial sensory nerves to the thumb

Median and ulnar mixed nerve studies (transcarpal)

Median and ulnar sensory studies to the fourth digit

Combined sensory index

3. Lower Limb Motor Nerve Studies

Femoral motor nerve to the quadriceps

Fibular Nerve

Fibular motor nerve to the extensor digitorum brevis

Fibular motor nerve to the fibularis brevis

Fibular motor nerve to the fibularis longus

Fibular motor nerve to the tibialis anterior

Sciatic Nerve

Sciatic motor nerve recording from the foot

H-reflex to the calf

Tibial Nerve

Tibial motor nerve (medial plantar branch) to the abductor hallucis

Tibial motor nerve (lateral plantar branch) to the flexor digiti minimi brevis

4. Lower Limb Sensory and Mixed Nerve Studies

Lateral femoral cutaneous sensory nerve

Medial calcaneal sensory nerve

Medial femoral cutaneous sensory nerve

Fibular Nerve

Deep fibular sensory nerve

Superficial fibular sensory nerve (intermediate dorsal cutaneous branch)

Posterior femoral cutaneous sensory nerve

Saphenous Nerve

Saphenous sensory nerve (distal technique)

Saphenous sensory nerve (proximal technique)

Sural Nerve

Sural sensory nerve

Sural sensory nerve: lateral dorsal cutaneous branch

Tibial mixed nerve (medial and lateral plantar branches)

5. Head and Neck Studies

Blink reflex

Cranial nerve VII

Cranial nerve XI

Greater auricular sensory nerve

6. Root Stimulation and Pudendal Nerve Studies

Cervical nerve root stimulation

Lumbosacral nerve root stimulation

Pudendal nerve studies

7. Other Studies of Interest

Appendix 1: Anomalous Innervation Patterns

Appendix 2: BMI Tables

Index

Authors

Dinesh Kumbhare, MD, MSc, is Associate Professor, Department of Medicine, University of Toronto; and staff physician and affiliate scientist at the Toronto Rehabilitation Institute, Toronto, Canada

Lawrence Robinson, MD, Professor and Director, Division of Physiatry, Department of Medicine, University of Toronto; and Chief, Rehabilitation Services, Sunnybrook Health Sciences Centre, Toronto, Canada

Ralph Buschbacher, MD, is Professor of Clinical Physical Medicine/Rehabilitation, Indiana University, Indianapolis, Indiana.

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