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