Checkpoint: Planning NCS: Case Studies-Dr. Fullam Presentation

Dr. Fullam Presentation

Pdf Summary

The document appears to be a detailed guide for clinicians on planning and conducting nerve conduction studies (NCS) specifically geared towards lower limb and generalized complaints, authored by Timothy R. Fullam, M.D., specializing in Neurology and Neuromuscular Medicine. It includes an overview of anomalous innervations like the accessory peroneal nerve, detailing its relationship with other aspects of the peroneal nerve and the extensor digitorum brevis muscle.<br /><br />The document further delves into the interpretative aspect of sensory studies, emphasizing their utility in localizing issues within the nervous system, from neuropathies to root pathologies like disc herniations. It stresses the progression of Wallerian degeneration and the recognition of absent or reduced sensory responses.<br /><br />Several case studies illustrate practical applications of nerve conduction study techniques. Each case introduces a patient with specific symptoms such as persistent foot pain, back pain with leg radiation, or generalized weakness, and describes the diagnostic process and electrodiagnostic impressions, often pointing to conditions like tibial neuropathy, S1 lumbosacral radiculopathy, or Lambert-Eaton Myasthenic Syndrome.<br /><br />The document also touches on pre and post-synaptic neuromuscular junction disorders and discusses the role of NCS in identifying issues like length-dependent neuropathy. Key points include the importance of using appropriate sensory studies for effective localization.<br /><br />Additionally, procedural notes about feedback mechanisms and credit claim procedures for the AANEM (American Association of Neuromuscular & Electrodiagnostic Medicine) workshops are included. The presentation aims to enhance diagnostic accuracy while providing educational resources for continued professional development in neuromuscular disorders.

Keywords

nerve conduction studies

ncs

lower limb complaints

neurology

accessory peroneal nerve

sensory studies

Wallerian degeneration

neuromuscular junction disorders

tibial neuropathy

electrodiagnostic impressions

AANEM workshops

nerve conduction studies

nerve conduction study

ncs