Электромиография в диагностике радикулопатий
Аннотация
Рассматриваются методы нейрофизиологической диагностики радикулопатий – игольчатой электромиографии, исследования моторных и сенсорных нервов, F-волн и Н-рефлекса. Представлены данные по чувствительности используемых методов. Приведены рекомендации врачам-нейрофизиологам с учетом особенностей различных методов и интерпретации результатов.
Об авторах
А. А. Рогожин
Кафедра неврологии и мануальной терапии ГБОУ ДПО «Казанская ГМА» МЗ РФ
Россия
Россия
Ф. И. Девликамова
Кафедра неврологии и мануальной терапии ГБОУ ДПО «Казанская ГМА» МЗ РФ
Россия
Россия
Список литературы
1. Tsao B. The Electrodiagnosis of cervical and lumbosacral radiculopathy. Neurol Clin 2007;25:473–94.
2. Zwart J.A., Sand T., Unsgaard G. Warm and cold sensory thresholds in patients with unilateral sciatica: C fibers are more severely affected than A-delta fibers. Acta Neurol Scand 1998;97:41.
3. American Association of Electrodiagnostic Medicine Practice parameter for needle electromyographic
4. evaluation of patients with suspected cervical radiculopathy: summary statement. Muscle Nerve 1999;22(Suppl 8):209–11.
5. Cho S.C., Ferrante M.A., Levin K.H. et al. Utility of electrodiagnostic testing in evaluating patients with lumbosacral radiculopathy: An evidence-based review. Muscle & Nerve 2010;42:276–82.
6. Shea P.A., Woods W.W., Werden D.H. Electromyography in diagnosis of nerve root compression syndrome. Arch Neuro Psychiatr 1950;64:93–104.
7. Aminoff M.J. Electrodiagnosis in clinical neurology 4th Edition. New-York: Churchill Livingstone, 1999. 792 p.
8. Knutsson B. Comparative value of electromyographic, myelographic and clinical-neurological examination in the diagnosis of lumbar root compression syndromes. Acta Orthop Scand 1961;49 (Suppl):121–35.
9. Wilbourn A.J., Aminoff M.J. The electrodiagnostic examination in patients with radiculopathies. Muscle Nerve 1998;21:1621–31.
10. Гехт Б.М., Касаткина Л.Ф., Самойлов М.И., Санадзе А.Г. Элетромиография в диагностике нервно-мышечных заболеваний. Таганрог: Издательство ТРТУ, 1997. 370 с.
11. Розмарин В.Ш. Электромиографическая диагностика вертеброгенного поражения пояснично-крестцовых корешков. Автореф. дис. … канд. мед. наук. М., 1981. 31 с.
12. Robinson L.R. Electromyography, magnetic resonance imaging, and radiculopathy: it’s time to focus on specificity. Muscle Nerve 1999;22:149–50.
13. Levin K.H. Electrodiagnostic approach to the patient with suspected radiculopathy. Neurologic Clinics 2002;20(2):397–421.
14. Wilbourn A.J., Aminoff M.J. Radiculopathies. Clinical electromyography, 2nd ed. [Ed. W.F. Brown, C.F. Bolton]. Boston, MA: Butterworth-Heinemann, 1993;p.177–209.
15. Chouteau W.L., Annaswamy T.M., Bierner S.M. et al. Interrater reliability of needle electromyographic findings in lumbar radiculopathy. Am J Phys Med Rehabil 2010;89(7):561–9.
16. Kendall R., Werner R.A. Interrater reliability of the needle examination in lumbosacral radiculopathy. Muscle Nerve 2006;34(2):238–41.
17. Fisher M.A. Electrophysiology of radiculopathies. Clinical Neurophysiology 2002;113:317–35.
18. Kimura J. Electromyography. Electrodiagnosis in diseases of nerve and muscle: principles and practice. Ed. F.A.Davis. Philadelphia, 1989. 2nd ed. 678 p.
19. Gilai A.N. Analysis of turns and amplitude in EMG Computer-Aided Electromyography and Expert Systems [Ed. J.E. Desmedt]. Elsevier Science Publishers B.V., 1989. Chapter 12. P. 143–160.
20. Waylonis G.W. Electromyographic findings in chronic cervical radicular syndromes. Arch Phys Med Rehabil 1968;49:407–12.
21. Хабиров Ф.А., Хабиров Р.А. Мышечная боль. Казань, 1995. 206 с.
22. Коуэн Х., Брумлик Дж. Руководство по электромиографии и электродиагностике [пер. с англ.]. М.: Медицина, 1975. 192 с.
23. Levin K.H., Maggiano H.J., Wilbourn A.J. Cervical radiculopathies: comparison of surgical and EMG localization of single-root lesions. Neurology 1996;46:1022–5.
24. Tsao B.E., Levin K.H., Bodner R.A. Comparison of surgical and electrodiagnostic findings in single root umbosacral radiculopathies. Muscle Nerve 2003;27(1):60–4.
25. Date E.S., Mar E.Y., Bugola M.R., Teraoka J.K. The prevalence of lumbar paraspinal spontaneous activity in asymptomatic subjects. Muscle Nerve 1996;19(3):350–4.
26. Nardin R.A., Raynor E.M., Rutkove S.B. Fibrillations in lumbosacral paraspinal muscles of normal subjects. Muscle Nerve 1998;21(10):1347–9.
27. Date E.S., Kim B.J., Yoon J.S., Park B.K. Cervical paraspinal spontaneous activity in asymptomatic subjects. Muscle Nerve 2006;34(3):361–4.
28. Gough J., Koepke G. Electromyographic determination of motor root levels in erector spinae muscles. Arch Phys Med Rehabil 1966;47:9–11.
29. Kottlors M., Glocker F.X. Polysegmental innervation of the medial paraspinal lumbar muscles. Eur Spine J 2008;17:300–6.
30. Albeck M.J., Taher G., Lauritzen M., Trojaborg W. Diagnostic value of electrodiagnostic tests in patients with sciatica Acta Neurol Scand 2000;101:249–4.
31. Hurtevent J.F. The place of electroneuromyography in the exploration of radiculopathy. Rev Neurol (Paris) 2002;158:1232–5.
32. Hamanishi C., Tanaka S. Dorsal root ganglia in the lumbosacral region observed from the axial views of MRI. Spine 1993;18:1753–6.
33. Kikuchi S., Sato K., Konno S. et al. Anatomic and radiographic study of dorsal root ganglia. Spine 1994;19:6–11.
34. Yabuki S., Kikuchi S. Positions of dorsal root ganglia in the cervical spine: an anatomic and clinical study. Spine 1996;21:1513–17.
35. Ho Y.-H., Yan S.-H., Lin Y.-T., Lo Y.-K. Sensory Nerve Conduction Studies of the Superficial Peroneal Nerve in L5 Radiculopathy. Acta Neurol Taiwan 2004;13:114–9.
36. Magladery J.W., McDougal D.B., Stoll J. Electrophysiological studies of nerve andreflex activity in normal man. II The effects of peripheral ischemia. Bull Johns Hopkins Hosp 1950; p. 291–312.
37. Fisher M.A. F-waves – physiology and clinical uses. Scientific World J, 2007;2:144–60.
38. Eisen A., Schomer D., Melmed C. An electrophysiological method for examining lumbosacral root compression. Can J Neurol Sci 1977;4:117–23.
39. Tang L.M., Schwartz M.S., Swash M. Postural effects on F-wave parameters in lumbar root compression and canal stenosis. Brain 1988;207:207–13.
40. Berger A.R., Sharma K., Lipton R.B. Comparison of motor conduction abnormalities in lumbosacral radiculopathy and axonal polyneuropathy. Muscle Nerve 1999;22:1053–7.
41. Scelsa S.N., Herskovitz S., Berger A.R. The diagnostic utility of F-waves in L5/S1 radiculopathy. Muscle Nerve 1995;18:1496–7.
42. Tsur A. Exhausting fatigue influences Fwave and peripheral conduction velocity, following lumbar radiculopathy. Disabil Rehabil 2002;24(13):647–53.
43. Buschbacher R.M. Peroneal nerve Fwave latencies recorded from the extensor digitorum brevis. Am J Phys Med Rehabil 1999;78 (suppl):48–52.
44. Aminoff M.J. Electrophysiological evaluation of root and spinal cord disease. Semin Neurol 2002;22:197–9.
45. Toyokura M., Murakami K. F-wave study in patients with lumbosacral radiculopathies. Electromyogr Clin Neurophysiol 1997;37:19–26.
46. Fisher M.A. H reflexes and F waves. Fundamentals, normal and abnormal patterns. Neurologic Clinics
47. ;20(2):145–51.
48. Braddom R.I., Johnson E.W. Standardization of H-reflex and diagnostic use in S1 radiculopathy. Arch Phys Med Rehabil 1974;55:161–6.
49. Nishida T., Kompoliti A., Janssen I., Levin K. H-reflex in S1 radiculopathy: latency versus amplitude controversy revisited. Muscle Nerve 1996;19:915–7.
50. Albeck M.J., Taher G., Lauritzen M., Trojaborg W. Diagnostic value of electrophysiological tests in patients with sciatica. Acta Neurol Scand 2000;101:249–54.
51. Schimsheimer R.J., Ongerboer de Visser B.W., Kemp B. The flexor carpi radialis H-reflex in lesions of the sixth and seventh cervical nerve roots. J Neurol Neurosurg Psychiatry 1985;48:445–9.
52. Eliaspour D., Sanati E., Hedayati Moqadam M.R. et al. Utility of flexor carpi radialis H-reflex in diagnosis of cervical radiculopathy. J Clin Neurophysiol 2009;26(6):458–60.
53. Kaylan T.A., Bilgic F., Ertem O. The diagnostic value of late responses in radiculopathies due to disc herniation. Electromyogr Clin Neurophysiol 1983;23:183–6.
54. Alrowayeh H.N., Sabbahi M.A. H-reflex amplitude asymmetry is an earlier sign of nerve root involvement than latency in patients with S1 radiculopathy. BMC Res Notes 2011;5:102.
Рецензия
Для цитирования:
Рогожин А.А., Девликамова Ф.И. Электромиография в диагностике радикулопатий. Нервно-мышечные болезни. 2013;(2):27-34. https://doi.org/10.17650/2222-8721-2013-0-2-27-34
For citation:
Rogozhin A.A., Devlikamova F.I. Electromyography in the diagnosis of radiculopathies. Neuromuscular Diseases. 2013;(2):27-34. (In Russ.) https://doi.org/10.17650/2222-8721-2013-0-2-27-34
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