Pediatric EMG Cases-Session recording

Video Transcription

Video Summary

The conference discussed several complex medical cases, primarily focusing on pediatric neuromuscular disorders and peripheral nerve diseases. One notable case involved a 17-year-old male with symptoms suggestive of Hirayama disease, characterized by asymmetric hand weakness, kinetic tremor, and specific EMG changes. Imaging supported this diagnosis, showing a distinctive pattern on dynamic cervical MRI. Another case centered on a four-year-old with foot drop, initially suspected to be orthopedic or neurological, but found to be related to a syringomyelia associated with a Chiari malformation detected on MRI. A five-year-old with acute weakness resulting from tick paralysis, a rare neurotoxic condition, underscored the importance of thorough examination and considering environmental factors in the differential diagnosis. Lastly, an 18-year-old from Texas experienced neuroborreliosis, potentially mimicking Guillain-Barre Syndrome, highlighting the diagnostic complexity when symptoms persist despite treatment. Throughout the presentations, the use of EMG and neuromuscular ultrasound was emphasized for diagnosing and understanding the pathology. The cases illustrated the challenges of diagnosing pediatric neuromuscular conditions, the need for a careful differential diagnosis, and the potential role of infectious diseases in neurological presentations. Attendees were encouraged to consider proposing ideas for future conferences and to note the critical insights from these diverse cases.

Keywords

pediatric neuromuscular disorders

peripheral nerve diseases

Hirayama disease

dynamic cervical MRI

syringomyelia

Chiari malformation

tick paralysis

neuroborreliosis

EMG

neuromuscular ultrasound

electromyography