• Journal of Electrodiagnosis and Neuromuscular Diseases
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• v.20 no.2
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• pp.91-97
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• 2018

Objective: The aim of this study was to compare the electrodiagnostic outcomes of carpal tunnel release in patients with and without diabetes with carpal tunnel syndrome (CTS), and to evaluate the effect of diabetes mellitus (DM) on electrodiagnostic outcomes. Method: We conducted a retrospective analysis of 67 patients with electro-diagnostic evidence of CTS. Patients were classified into two groups according to the presence of DM. Both groups were evaluated using nerve conduction studies preoperatively and 3 weeks and 3 months postoperatively. Results: There were no statistical differences in any of the electrodiagnostic parameters between groups 3 weeks postoperatively. However, there were statistical differences in the amplitude and the latency of compound muscle action potential, and sensory nerve conduction velocity 3 months postoperatively. Conclusion: Patients with DM did not show a significantly different outcome 3 weeks after surgery but showed a worse electrodiagnostic outcome 3 months after surgery than those without DM.

• Journal of Electrodiagnosis and Neuromuscular Diseases
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• v.20 no.2
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• pp.159-163
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• 2018

Guillain-Barre syndrome (GBS) after trauma and general orthopedic surgery is rare. A 74-year-old woman showed ascending paralysis symmetrically, dysarthria, dysphagia and areflexia on 14 days after minimally invasive endoscopic thermoannuloplasty on L4-5 level. Brain and lumbar magnetic resonance imaging demonstrate no abnormal findings. The electrodiagnostic study showed prolonged distal motor, sensory latencies and F-wave latencies and reduced amplitude of compound muscle action potential in nerves of upper and lower extremities. In the cerebrospinal fluid (CSF) examination, total protein and IgG were increased. We diagnosed Guillain-Barre Syndrome based on clinical features, electrodiagnostic study and CSF examination and the patient improved symptoms after immunoglobulin injection and rehabilitation. Because the occurrence of GBS after minimally invasive procedure has not been reported, we report a case of GBS after minimally invasive procedure with literature review.

• Annals of Clinical Neurophysiology
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• v.22 no.1
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• pp.8-12
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• 2020

Chronic inflammatory demyelinating polyneuropathy (CIDP) is an immune-mediated neuropathy with heterogeneous features. Appropriate treatment will produce a favorable outcome, but a poor treatment response and severe disability have also been reported. The roles of the clinical phenotypes and electrophysiological features of CIDP as well as of autoantibodies against nodal and paranodal proteins have been highlighted previously due to their association with the treatment response and long-term prognosis. This review addresses the diverse factors associated with the prognosis of CIDP.

• Annals of Clinical Neurophysiology
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• v.17 no.2
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• pp.98-100
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• 2015

• Science of Emotion and Sensibility
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• v.6 no.1
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• pp.27-32
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• 2003

The objectives of this study the effects of fabric noise from active wear on electrodiagnosis(EMG), to examine the effects on subjective sensation, and to relate the EMG results and the subjective sensation.. Five nylon water repellent taffeta fabrics were rubbed each other and the fabric noise were recorded. EMG was done from 10 female university students and electrodes were attached on each participant's upper arm and lower am. The subjective sensation was measured by FMME(Free Modulus Magnitude Estimation). The EMG values from upper arm showed higher voltage than those from lower arm, and the differences between values with fabric sound and without were larger at upper arm than those at lower am. EMG decreased when fabric sound was evaluated soft and pleasant, however It increased in proportion as fabric sound was evaluated loud and sharp. The predicted models for subjective sensation using physical sound properties and EMG results were well explained except roughness. Pleasantness was well predicted by EMG at upper am and EMG at lower arm, as the result, it was explained that the lower the EMG, the more pleasant the participant.

• Clinical Pain
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• v.18 no.2
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• pp.70-75
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• 2019

Objective: The purpose of this study is to evaluate the usefulness of infrared thermography in patients with carpal tunnel syndrome by comparing with electrodiagnostic and ultrasonographic findings. Method: From January 2014 to October 2017, electrodiagnosis, ultrasound, and digital infrared thermal image (DITI) of unilateral carpal tunnel syndrome diagnosed in a single hospital were retrospectively analyzed. The subjects with bilateral symptoms of carpal tunnel syndrome, peripheral vascular disease, diabetes, thyroid disease, fibromyalgia, rheumatic disease, systemic infection, inflammation, malignant tumor, and other musculoskeletal disorders such as finger osteoarthritis, peripheral neuropathy, cervical radiculopathy, and the previous history of surgery were excluded. Results: Of 53 patients diagnosed with carpal tunnel syndrome, 11 were male and 42 were female. The visual analogue scale was 4.9 ± 1.9, and the duration of symptom was 11.8 ± 12.5 months. There was no statistically significant difference in the body surface temperature between the unaffected and affected sides. The severity of symptoms, electrodiagnostic findings, and cross-sectional area of the median nerve significantly correlates to each other. The temperature difference between the second fingers of the affected and unaffected sides showed a weak correlation with the amplitude of sensory nerve action potential and onset latency of compound muscle action potential, when there was no significant correlation with the other parameters. Conclusion: The difference in temperature on the surface of the body, which can be confirmed by DITI, is little diagnostic value when DITI is performed in unilateral carpal tunnel syndrome patients, especially when compared with ultrasonography.

• Proceedings of the Korean Society for Emotion and Sensibility Conference
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• 2002.11a
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• pp.153-156
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• 2002

본 연구는 스포츠웨어용 나일론 직물의 소리가 심한 소음으로 작용하여 착용자 뿐 만 아니라 상대방에게도 불쾌함을 주므로 이를 줄이기 위한 방향 모색의 하나로, 소리 자극에 대한 생리반응 중 근전도(Electrodiagnosis)와 소리에 대한 주관적 감성을 측정하여 의복 소음이 미치는 영향을 고찰하였다. 근전도는 상완이두근과 전완근에서 측정하였고, 주관적 평가는 FMME(Free Modulus Magnitude Estimation)를 이용하여 실시하였다. 직물 소리에 대한 상완이두근의 근전도 값은 직물별로 유의한 차이를 보였으나, 전완근에서는 대부분 비슷한 값을 보였다. 직물의 소리가 부드럽고 유쾌할수록 근전도값은 무자극시보다 감소하는 경향을 보였으나, 직물의 소리가 시끄럽고 날카로울수록 근전도값은 무자극시보다 증가하였다. 이로서, 직물의 소리는 상완이두근의 근전도 값에만 영향을 미치며, 직물 소음의 크기, 날카로움 등과 정적인 관계를 보이는 것을 볼 수 있었다.

• Annals of Clinical Neurophysiology
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• v.17 no.2
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• pp.86-90
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• 2015

Brachial radiculoplexitis is characterized by acute onset of shoulder and arm pain followed by weakness and sensory loss. Brachial radiculoplexitis by herpes zoster is a rare disease, which can be diagnosed by careful history, electrodiagnosis and MRI. It has remained uncertain about clinical characteristics, treatment, and prognosis. Better understanding of this disease helps earlier diagnosis and prompt treatment to minimize neurologic sequale. We present two cases of subacute brachial radiculoplexitis preceded by herpes zoster infection.

• Journal of Electrodiagnosis and Neuromuscular Diseases
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• v.20 no.2
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• pp.135-138
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• 2018

Peroneal neuropathy scarcely can develop after massive weight reduction. A 21-year-old man complained left foot drop after 28% weight reduction (from 94 kgs to 67.5 kgs). During previous seven months, he played PC games with sitting cross-legged more than seven hours a day. In addition, he started a heavily restricted diet three months ago. Except for those, he had neither any medical history nor trauma to his knee. Electrophysiologic study showed the partial conduction block of left peroneal neuropathy at the fibular head. Four-week well balanced diet and physical therapy improved his foot drop. For the prevention of peroneal neuropathy related to weight reduction, well balanced diet and lifestyle modification are needed.

• Journal of Electrodiagnosis and Neuromuscular Diseases
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• v.20 no.2
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• pp.77-83
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• 2018

Small fiber neuropathy (SFN) mainly affects thinly myelinated $A{\delta}$-fibers and unmyelinated C-fibers presented with neuropathic pain like burning feet or numbness. Many conditions are known as a causes of SFN, metabolic derangement, especially glucose intolerance, is the most frequent cause of SFN. It has been hard to diagnose SFN because there has been lack of specialized test for small nerve fiber. Quantification of intraepidermal nerve fiber density using skin biopsy is promising method to diagnose SFN. A skin biopsy also could give helps to research pathophysiology of SFN by specialized stain method.