Research Article

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

Volume: 75 Number: 4 January 20, 2023

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

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.

References

  1. 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. 2. Nelson MR. The changing role of pediatric electrodiagnosis. Phys Med Rehabil Clin N Am. 2003;14:435-443.
  3. 3. Stålberg E, van Dijk H, Falck B, et al. Standards for quantification of EMG and neurography. Clin Neurophysiol. 2019;130:1688-1729.
  4. 4. Pitt MC. Nerve conduction studies and needle EMG in very small children. Eur J Paediatr Neurol. 2012;16:285-291.
  5. 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. 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. 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. 8. Orhan EK, Kiraç LB, DİKmen PY, et al. Electromyography in Pediatric Population. Noro Psikiyatr Ars. 2018;55:36-39.

Details

Primary Language

English

Subjects

Physiotherapy

Journal Section

Research Article

Publication Date

January 20, 2023

Submission Date

November 24, 2021

Acceptance Date

June 13, 2022

Published in Issue

Year 2022 Volume: 75 Number: 4

APA
Ünlü, E., Cankurtaran, D., Kıraç Ünal, Z., & Tezel, N. (2023). How Accurately is the Pre-diagnosis of Electroneuromyography in Pediatric Patients? Ankara Üniversitesi Tıp Fakültesi Mecmuası, 75(4), 538-543. https://doi.org/10.4274/atfm.galenos.2022.28291
AMA
1.Ünlü E, Cankurtaran D, Kıraç Ünal Z, Tezel N. How Accurately is the Pre-diagnosis of Electroneuromyography in Pediatric Patients? Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;75(4):538-543. doi:10.4274/atfm.galenos.2022.28291
Chicago
Ünlü, Ece, Damla Cankurtaran, Zeynep Kıraç Ünal, and Nihal Tezel. 2023. “How Accurately Is the Pre-Diagnosis of Electroneuromyography in Pediatric Patients?”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75 (4): 538-43. https://doi.org/10.4274/atfm.galenos.2022.28291.
EndNote
Ünlü E, Cankurtaran D, Kıraç Ünal Z, Tezel N (January 1, 2023) How Accurately is the Pre-diagnosis of Electroneuromyography in Pediatric Patients? Ankara Üniversitesi Tıp Fakültesi Mecmuası 75 4 538–543.
IEEE
[1]E. Ünlü, D. Cankurtaran, Z. Kıraç Ünal, and N. Tezel, “How Accurately is the Pre-diagnosis of Electroneuromyography in Pediatric Patients?”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 75, no. 4, pp. 538–543, Jan. 2023, doi: 10.4274/atfm.galenos.2022.28291.
ISNAD
Ünlü, Ece - Cankurtaran, Damla - Kıraç Ünal, Zeynep - Tezel, Nihal. “How Accurately Is the Pre-Diagnosis of Electroneuromyography in Pediatric Patients?”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75/4 (January 1, 2023): 538-543. https://doi.org/10.4274/atfm.galenos.2022.28291.
JAMA
1.Ünlü E, Cankurtaran D, Kıraç Ünal Z, Tezel N. How Accurately is the Pre-diagnosis of Electroneuromyography in Pediatric Patients? Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;75:538–543.
MLA
Ünlü, Ece, et al. “How Accurately Is the Pre-Diagnosis of Electroneuromyography in Pediatric Patients?”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 75, no. 4, Jan. 2023, pp. 538-43, doi:10.4274/atfm.galenos.2022.28291.
Vancouver
1.Ece Ünlü, Damla Cankurtaran, Zeynep Kıraç Ünal, Nihal Tezel. How Accurately is the Pre-diagnosis of Electroneuromyography in Pediatric Patients? Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023 Jan. 1;75(4):538-43. doi:10.4274/atfm.galenos.2022.28291

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