Checkpoint: The Good, Bad, and Ugly: Planning NCS With Case Studies-Session recording

Video Transcription

Video Summary

In the video, the first speaker discusses the importance of focusing on the fundamentals in order to obtain accurate data for patients. They emphasize the need to consider both the technologist and physician perspective and highlight the importance of clean surfaces, proper electrode placement, and attention to technical factors. They address common challenges such as electrical interference and suggest solutions like using filters and paying attention to impedance. The speaker also discusses the difference between axon loss and conduction block and suggests diagnostic methods such as segmental studies and palmar stimulation. They stress the importance of avoiding false positives and conducting only necessary tests.<br /><br />In addition, the speaker emphasizes the importance of pre-NCS evaluation to determine the pretest probability for differentials. They provide case examples to demonstrate this approach, such as a patient with foot drop and abnormal peroneal motor studies pointing to a peripheral neuropathy. They also discuss ongoing interpretation and updating of the differential diagnosis as test results are obtained. The speaker notes that NCS is not the end of the evaluation and must be followed by needle EMG or other tests for a complete assessment.<br /><br />Overall, the video emphasizes the need for a systematic approach to NCS interpretation, considering pretest probability, and using NCS to rule in or rule out differentials. No specific credits were mentioned in the summary.

Keywords

accurate data

patients

fundamentals

technologist

physician perspective

clean surfaces

electrode placement

technical factors

electrical interference

filters

impedance

axon loss

tech