Motor neurone disease (MND): electromyogram (EMG)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Motor neurone disease (MND): electromyogram (EMG). There are widespread fasciculations and fibrillations. Fully referenced neurology checklist.

Acute denervation

  • There are widespread fasciculations and fibrillations
  • Observation for up to 90 seconds is required to record fasciculations
  • The waveform is indistinguishable from benign fasciculations

Other features

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References

  1. Mills KR. The basics of electromyography. JNNP 2005; 76(Suppl II):ii32-ii35.
  2. Mills KR. Detecting fasciculations in amyotrophic lateral sclerosis: duration of observation required. JNNP 2011; 82:549-551.
  3. Mills KR. Characteristics of fasciculations in amyotrophic lateral sclerosis and the benign fasciculation syndrome. Brain 2010; 133:3458-3469.
  4. Isak B, Tankisi H, Johnsen B, et al. Involvement of distal sensory nerves in amyotrophic lateral sclerosis. Muscle Nerve 2016; 54:1086-1092.
  5. Martins MP, de Lima FD, Bernardes Leoni T, et al. Laryngeal electromyography in amyotrophic lateral sclerosis. JNNP 2020 (Epub ahead of print).

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