How Accurately is the Pre-diagnosis of Electroneuromyography in Pediatric Patients?

Year 2022, Volume: 75 Issue: 4, 538 - 543, 20.01.2023

Damla Cankurtaran

Abstract

Objectives: Electroneuromyography (ENMG) is a laboratory test commonly used in the diagnosis of neuromuscular diseases, which is a continuation of anamnesis and physical examination. The aim of this study is to analyze accordance between pre-diagnosis and electrophysiological diagnosis in pediatric patients.

Materials and Methods: Patients aged 0-16 years and underwent ENMG examinations between 2016 and 2019 were evaluated retrospectively.

Results: The ENMG results of a total of 526 patients were examined in the study. The mean age of the patients was 10.81±4.31 years. While the pre-diagnosis and the electrophysiological diagnosis were compatible in 32.31% of the patients, incompatibility with the pre-diagnosis was found in 67.69%. While no difference was found between concordant and discordant patients in terms of pre-diagnosis and outcome between genders (p=0.06), there was a difference between concordant and non-concordant patients in terms of categorized age and pre-diagnoses (p=0.01, p=0.02,
respectively).

Conclusion: A high discrepancy was found between pre-diagnosis and electrophysiological diagnosis. With more detailed history and clinical examination of pediatric patients, unnecessary requests can be avoided and waiting times of real patients can be shortened.

Keywords

Electromyography , Children , Examination And Diagnoses

Ethical Statement

Ethics Committee Approval: Ethical approval was obtained from the Ethics Committee of University of Health Sciences Turkey, Dışkapı Yıldırım Beyazıt Training and Research Hospital (aproval date: 23.12.2019; approval number: 78/01). Informed Consent: This study was a retrospective study. Peer-reviewed: Externally peer-reviewed.

Supporting Institution

-

Project Number

-

Thanks

-

References

• 1. Shapiro BE, Katirji B, Preston DC. Clinical electromyography. In: Katirji B, Kaminski HJ, Preston DC, Ruff RL, Shapiro EB (ed) Neuromuscular disorders in clinical practice. Boston,Butterworth-Heinemann; 2002.
• 2. Nelson MR. The changing role of pediatric electrodiagnosis. Phys Med Rehabil Clin N Am. 2003;14:435-443.
• 3. Stålberg E, van Dijk H, Falck B, et al. Standards for quantification of EMG and neurography. Clin Neurophysiol. 2019;130:1688-1729.
• 4. Pitt MC. Nerve conduction studies and needle EMG in very small children. Eur J Paediatr Neurol. 2012;16:285-291.
• 5. Yagci I, Ofluoglu D, Gunduz H, et al. Pediatrik Olgularda Klinik Ön Tanı ve Elektrofizyolojik Tanıların Uyumu. Turkish Journal of Physical Medicine & Rehabilitation. 2008;54:92-95.
• 6. Hellmann M, von Kleist-Retzow JC, Haupt WF, et al. Diagnostic value of electromyography in children and adolescents. J Clin Neurophysiol. 2005;22:43-48.
• 7. Komur M, Okuyaz C, Makharoblidze K. Consistency between referral diagnosis and post-ENMG diagnosis in children. J Pak Med Assoc. 2014;64:179-183.
• 8. Orhan EK, Kiraç LB, DİKmen PY, et al. Electromyography in Pediatric Population. Noro Psikiyatr Ars. 2018;55:36-39.
• 9. Kang PB. Pediatric nerve conduction studies and EMG. The clinical neurophysiology primer. Springer. 2014; 369-389.
• 10. Mc Donald CM. Pediatric rehabilitation: principles and practice. In: Alexander MA, Matthews DJ (ed) Electrodiagnosis in pediatrics. New York: Demos Medical Publishing.; 2014. p. 113-152.
• 11. Türkel Y, Sandikci U, Er D, et al. How Compatible is Clinical Diagnosis with Electrophysiology?. Journal of Clinical and Analytical Medicine. 2014;5:366- 368.