Sphincter electromyography in diagnosis of multiple system atrophy: Technical issues

被引：33

作者：

Podnar, S ^{[1
]}

Fowler, CJ

机构：

[1] Univ Ljubljana, Med Ctr, Inst Clin Neurophysiol, SI-1525 Ljubljana, Slovenia

[2] UCL Natl Hosp Neurol & Neurosurg, Dept Uro Neurol, London WC1N 3BG, England

来源：

MUSCLE & NERVE | 2004年 / 29卷 / 01期

关键词：

external anal sphincter muscle; motor unit potential; multiple-system atrophy; needle electromyography;

D O I：

10.1002/mus.10478

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Possible technical reasons for the controversy over the role of sphincter electromyography (EMG) in the diagnosis of multiple system atrophy (MSA) were analyzed. In a review of the literature, a high sensitivity (>60%) was found reported in 11 studies that included late components, and no value of the test was found in 4 studies that excluded them. This was also corroborated in a pilot study of 5 patients with probable MSA. With late components included, the mean motor unit potential (MUP) duration was prolonged in all 4 patients with an adequate single-MUP analysis sample and, with late components excluded, in 2 of 5 patients on multi-MUP analysis. At least in diagnostic EMG of MSA patients, late components should be included in the measurement of MUP duration.

引用

页码：151 / 156

页数：6

共 25 条

[1] GENITOURINARY DYSFUNCTION IN MULTIPLE SYSTEM ATROPHY - CLINICAL-FEATURES AND TREATMENT IN 62 CASES [J].

BECK, RO ;

BETTS, CD ;

FOWLER, CJ .

JOURNAL OF UROLOGY, 1994, 151 (05) :1336-1341

[2] How to recognize patients with parkinsonism who should not have urological surgery [J].

Chandiramani, VA ;

Palace, J ;

Fowler, CJ .

BRITISH JOURNAL OF UROLOGY, 1997, 80 (01) :100-104

[3] THE VALUE OF URETHRAL SPHINCTER ELECTROMYOGRAPHY IN THE DIFFERENTIAL-DIAGNOSIS OF PARKINSONISM [J].

EARDLEY, I ;

QUINN, NP ;

FOWLER, CJ ;

KIRBY, RS ;

PARKHOUSE, HF ;

MARSDEN, CD ;

BANNISTER, R .

BRITISH JOURNAL OF UROLOGY, 1989, 64 (04) :360-362

[4] Quantitative anal sphincter EMG in multisystem atrophy and 100 controls [J].

Gilad, R ;

Giladi, N ;

Korczyn, AD ;

Gurevich, T ;

Sadeh, M .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2001, 71 (05) :596-599

[5]

Giladi N, 2000, MUSCLE NERVE, V23, P731, DOI 10.1002/(SICI)1097-4598(200005)23:5<731::AID-MUS10>3.0.CO

[6]

2-#

[7] Consensus statement on the diagnosis of multiple system atrophy [J].

Gilman, S ;

Low, PA ;

Quinn, N ;

Albanese, A ;

Ben-Shlomo, Y ;

Fowler, CJ ;

Kaufman, H ;

Klockgether, T ;

Lang, AE ;

Lantos, PL ;

Litvan, I ;

Mathias, CJ ;

Oliver, E ;

Robertson, D ;

Schatz, I ;

Wenning, GK .

JOURNAL OF THE NEUROLOGICAL SCIENCES, 1999, 163 (01) :94-98

[8] URETHRO-VESICAL DYSFUNCTION IN PROGRESSIVE AUTONOMIC FAILURE WITH MULTIPLE SYSTEM ATROPHY [J].

KIRBY, R ;

FOWLER, C ;

GOSLING, J ;

BANNISTER, R .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1986, 49 (05) :554-562

[9]

Libelius R, 2000, MUSCLE NERVE, V23, P1250, DOI 10.1002/1097-4598(200008)23:8<1250::AID-MUS14>3.3.CO

[10]

2-N

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