Electrodiagnostic evaluation in differential diagnosis and neurosurgical treatment of radiculopathies caused by spine disorders. Diagnostic value and methodology

E.G. Seliverstova

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0001-9652-1457

M.V. Sinkin

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0001-5026-0060

A.Yu. Kordonsky

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0001-5344-3970

I.B. Aleinikova

Sklifosovsky Research Institute for Emergency Care

I.V. Tikhomirov

Sklifosovsky Research Institute for Emergency Care

A.A. Grin

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0003-3515-8329

Electrodiagnostic evaluation in differential diagnosis and neurosurgical treatment of radiculopathies caused by spine disorders. Diagnostic value and methodology

Authors:

E.G. Seliverstova, M.V. Sinkin, A.Yu. Kordonsky, I.B. Aleinikova, I.V. Tikhomirov, A.A. Grin

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2022;86(2): 109‑118

DOI: 10.17116/neiro202286021109

Downloaded: 338

To cite this article:

Seliverstova EG, Sinkin MV, Kordonsky AYu, Aleinikova IB, Tikhomirov IV, Grin AA. Electrodiagnostic evaluation in differential diagnosis and neurosurgical treatment of radiculopathies caused by spine disorders. Diagnostic value and methodology. Burdenko's Journal of Neurosurgery. 2022;86(2):109‑118. (In Russ., In Engl.)
https://doi.org/10.17116/neiro202286021109

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

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OBJECTIVE

To assess the role of electromyography including paraspinal muscle mapping in diagnosis of radiculopathies following spine diseases.

MATERIAL AND METHODS

We have analyzed literature data in the Scopus, Pubmed, and RSCI databases and selected 93 references for primary reviewing. Final analysis enrolled the manuscripts with a detailed description of neurophysiological examinations and data on sensitivity/specificity of these methods.

RESULTS

Needle electromyography (EMG) is the most informative neurophysiological method for diagnosis of radicular damage. Sensitivity of EMG is up to 90% for lumbosacral radiculopathy. Electromyography of the paraspinal muscles can be used in case of of cervical, thoracic and lumbar radiculopathy in addition to EMG of limb muscles. Therefore sensitivity increases to 100%. Diagnostic value of nerve conduction study (NCS) is low, and performing NCS without EMG is not useful.

CONCLUSION

In neurosurgical practice electrodiagnostic (EDX) should be performed for differential diagnosis of radiculopathy and peripheral nervous system lesions, to determine the level of radicular compression, and when physical examination does not correspond with neuroimaging or MRI is not possible to perform.

Keywords:

radiculopathy

ENMG

electromyography

MRI

Authors:

E.G. Seliverstova

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0001-9652-1457

M.V. Sinkin

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0001-5026-0060

A.Yu. Kordonsky

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0001-5344-3970

I.B. Aleinikova

Sklifosovsky Research Institute for Emergency Care

I.V. Tikhomirov

Sklifosovsky Research Institute for Emergency Care

A.A. Grin

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0003-3515-8329

Received:

22.04.2021

Accepted:

28.01.2022

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