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Chapter 15 - Degree of Pathology

Published online by Cambridge University Press:  14 September 2023

John A. Jarratt
Affiliation:
Emeritus, Sheffield Teaching Hospitals NHS Foundation Trust
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Summary

Slowed conduction in a demyelinated nerve is proportional to the degree of pathology. More severe pathology leads to conduction block and ultimately to degeneration of the nerve. Degeneration causes the amplitudes of the action potentials, sensory nerve action potentials (SNAPs) or compound muscle action potentials (CMAPs), to be reduced. Unfortunately, the positively skewed distribution of these severely limits their clinical usefulness in assessing the degree of pathology. The demonstration of unstable nascent potentials can be a useful sign that motor nerve regeneration is occurring but, in general, the contribution of electrophysiological techniques to the monitoring of peripheral nerve degeneration is disappointing.

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Publisher: Cambridge University Press
Print publication year: 2023

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  • Degree of Pathology
  • John A. Jarratt, Emeritus, Sheffield Teaching Hospitals NHS Foundation Trust
  • Book: Essential Electromyography
  • Online publication: 14 September 2023
  • Chapter DOI: https://doi.org/10.1017/9781009381055.016
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  • Degree of Pathology
  • John A. Jarratt, Emeritus, Sheffield Teaching Hospitals NHS Foundation Trust
  • Book: Essential Electromyography
  • Online publication: 14 September 2023
  • Chapter DOI: https://doi.org/10.1017/9781009381055.016
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Degree of Pathology
  • John A. Jarratt, Emeritus, Sheffield Teaching Hospitals NHS Foundation Trust
  • Book: Essential Electromyography
  • Online publication: 14 September 2023
  • Chapter DOI: https://doi.org/10.1017/9781009381055.016
Available formats
×