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EMG and Neurography Course in Uppsala Sweden, 3-7 April 2017

Monday 3 - Watch videos

Speaker

Duration

● The motor unit, anatomy and physiology

Basics about MU, morphology, histology, firing rate

Erik Stålberg

45 min

● Practical aspects of the EDX investigation and Recordings

Practical, planning, EMG procedure, electrode derivations

Erik Stålberg

45 min

● Needle EMG technique of important muscles

Needle EMG, Muscles, EMG electrodes, Needle EMG contraindications

Björn Falck

45 min

● Basic EMG - quantitative EMG (QEMG)

MUP and Interference, MUP generation, MUP parameters, Recruitment, EMG at full effort; IP

Erik Stålberg

30 min

● QEMG, DEMO

Erik Stålberg

45 min

● Spontaneous EMG activity

Fibrillation potentials, Positive sharp waves, Fasciculations, Myotonic discharges, Complex repetitive discharges, Myokymia, Neuromyotonia, Insertional activity

Björn Falck

30 min

● Neurography QUIZ

QUIZ Neurography, see here...

Erik Stålberg

45 min

Tuesday 4 - Watch videos

Speaker

Duration

● EMG in myopathies

Myopathy, Principal EMG findings, explanation, special studies: SFEMG, Macro EMG, Scanning EMG, usefulness of EMG in myopathy

Erik Stålberg

60 min

● Myopathies with myotonia or periodic weakness

Myotonia, Motonic discharges, Periodic paralysis, Myotonic dystrophy type 1, Myotonic dystrophy type 2, Myotonia congenita, Motonia congenirta recessive, Becker type, Myotonia congenita, dominant, Thomsen, Paramyotonia congenita, Na chanelopathies, Cl channelopathies, Short exercise test, Long exercise test

Björn Falck

50 min

● A24 Repetitive nerve stimulation (RNS) + DEMO

RNS, Basic physiology, EPP, protocol, pratical hintsw

Erik Stålberg

30 min

● Neuromuscular transmission disorders

Anna Rostedt Punga

45 min

● Techniques for Motor Unit Number estimation

MUNE, Short overwiev, Munix principles, Munix results, Indications

Erik Stålberg

40 min

● Ultrasound in nerve and muscle disorders + DEMO

Johan Widenfalck

45 min

● Motor neuro/neuronopathies

ALS, Amyotrophic lateral sclerosis, Motor neuron disease, Kenedy syndrome, Bulbospinal muscular atrophy, Spinal muscular atrophy, SMA, SMA1, SMA2, SMA3, LOSMON, late onset spinal motor neuronopathy, Monomelic spinal atrophy, Hirayama disease, Benign fasciculation, TBE, tick born encephalitis, Post-polio sysndrome

Erik Stålberg

45 min

Wednesday 5 - Watch videos

Speaker

Duration

● Neurography, principles

Neurography: principles, electrode placements, interpretation of NCS, motor and sensory

Erik Stålberg

60 min

● Late responses and reflexes

sLate responses: F waves, A waves, CMAP followers, H reflex

Erik Stålberg

60 min

● DEMO

Erik Stålberg/BMA

30 min

● Special neurography techniques

Near nerve neuroography with monopolar needele electrodes, Mortons metatarsalgia, Meralgia paresthetica, Tarsal tunnel syndrome, Inferior alveolar nerve, Inferior patellar nerve, Plamar digital nerves, Plantar digital nerves

Björn Falck

30 min

● Focal peripheral neuropathies

Entrapment neuropathies, Temporary compression neuropathies, Iatrogenic focal neuropathies, Ulnar neuropathy, Morton's metatarsalgia, Ulnar neuropathy, Meralgia paresthetica, Saturday night palsy, Cyclist's palsy, Peroneal nuropathy

Björn Falck

60 min

● Plexus brachialis lesions

Brachial plexopathies, Parsonage-Turner syndrome, Neuralgic amyotrophy, Thorcic outlet syndrome, Erb's palsy, Traumatic plexopathies

Björn Falck

25 min

● Cervical radiculopathies

Cervical radiculopathies, Cervical disc herniation

Björn Falck

30 min

● Carpal tunnel syndrome

CTS: general description, some techniques, 14-7 method

Erik Stålberg

40 min

Thursday 6 - Watch videos

Speaker

Duration

● Neurophysiological tests in the diagnosis of polyneuropathies

Polyneuropathy, Sensory polyneuropathy, Sensory neuronopathy, Axonal polyneuropathies, Demyelinating polyneuropathies, Conduction block, QST, quantitative sensory thresholds, Thermotest, Intraepidermal axonal density, Autonomic nervous sytem testing, SSR, sympathetic skin response, RR-interval, Sensory neurography, Motor neurography, Thin fiber nneuropaty

Björn Falck

60 min

● Important polyneuropathies

CMT, Charcot-Marie-Tooth syndrome, CMT1, CMT2, CMTX, Diabetic polyneuropathy, Tretment induced diabetic polyneuropathy

Björn Falck

60 min

● Autoimmune neuropathies

Guillan-Barré syndrome, AIDP, acute inflammatory demyelinating polyneuropathy, AMSAN, acute motor and sensory axonal neuropathy, AMAN, acute motor axonal, neuropathy, MFS, Miller-Fisher syndrome, CIDP, chornic inflammatory polyneuropathy, MGUS, MMN, multofocal motor neuropathy with conduction blocks, Lewis-Sumner syndrome, MADSAM, multifocal aquired demyelinating sensory and motor neuropathy

Björn Falck

30 min

● Pediatric EMG and neurography

Karin Eeg-Olofsson

30 min

● Intramuscular stimulation + demo

Erik Stålberg

60 min

●Single fibre EMG and CNE jitter

SFEMG, principles, parameters, SFEMG method, usefulness, pitfalls

Erik Stålberg

25 min

● SFEMG in diseases + DEMO

CNE, princple for recording, pitfalls, practical hints, vol and stim jitter

Erik Stålberg

30 min

● DEMO SSR, RR

BMA

40 min

● Lumbar radiculopathies

Lumbar radiculopathies, Disc herniation, Spinal stenosis

Björn Falck

40 min

Friday 7 - Watch videos

Speaker

Duration

● Strategies in the EMG investigation

Planning and EMG examination, Heuristic errors, Strategies, Diagnostic criteria, Protocols

Björn Falck

35 min

● Protocols for some common situations, quality aspects

Strategies: protocols for some individual diagnoses, quality work, knowledgebased routines

Erik Stålberg

50 min

● Reporting

Reporting, Clinical interpretation of ENMG findings, Recommendations, Examination tables

Björn Falck

30 min

● EMG QUIZ

QUIZ on EMG, see here...

Erik Stålberg

45 min

● Integration of neurography and EMG

Ingtegration, Many examples of the combination between EMG and NCS, what to look for

Erik Stålberg

45 min