Pediatric EMG Cases-Dr. Mosher Presentation

Dr. Mosher Presentation

Pdf Summary

Dr. Kathryn Mosher's presentation focuses on the complex case of a 16-year-old male experiencing persistent hand numbness and weakness following a prolonged period of resting his weight on it during sleep. Over the past eight months, the patient has experienced numbness in digit V and weakness in the pinky finger, alongside some calf pain and difficulty with prolonged standing.<br /><br />The physical examination reveals left-sided weakness in digit abduction, particularly in digits II and V, with no significant numbness elsewhere in the forearm and hand. The EMG and Sensory Nerve Conduction Study (NCS) results suggest abnormalities in the left ulnar nerve and possibly some radial nerve involvement, indicating potential nerve damage or compressive neuropathy arising from the prolonged compression during his sleep incident.<br /><br />The presentation highlights the challenge of distinguishing between various potential diagnoses, including nerve damage from pressure or other underlying neurological conditions. The importance of detailed history, examination, and EMG/NCS data are emphasized to pinpoint the exact pathology.<br /><br />Dr. Mosher notes the improvement in the patient's condition, with the calf pain diminishing significantly, yet stresses the necessity for further monitoring and possibly different therapeutic interventions.<br /><br />Further, the document encourages audience participation through feedback on the presentation using the AANEM app before October 19, 2025. This feedback will help refine future presentations to better meet the audience's needs. Additionally, attendees are instructed on how to claim their Continuing Medical Education (CME) credits via the app, with insights into self-assessment test arrangements to receive SA and Checkpoint credits following the presentation.

Keywords

hand numbness

weakness

ulnar nerve

nerve damage

neuropathy

EMG

electromyography

NCS

nerve conduction studies

nerve conduction study

therapeutic interventions

CME credits

AANEM app

EMG

electromyography

nerve conduction studies

nerve conduction study

ncs

ncv