Correlation of Electromyography and Magnetic Resonance Imaging Findings in the Diagnosis of Suspected Radiculopathy

INTRODUCTION: Patients with pain or numbness without motor deficits are the most common group referred to electrophysiology laboratories as suspected radiculopathy. We wanted to investigate whether electromyography (EMG) was useful for this group in the diagnosis or therapy of radiculopathy. Our aim...

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Main Authors: Yıldız Arslan, Ebru Yaşar, Yaşar Zorlu
Format: Article
Language:English
Published: Galenos Yayinevi 2016-06-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-99896
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author Yıldız Arslan
Ebru Yaşar
Yaşar Zorlu
author_facet Yıldız Arslan
Ebru Yaşar
Yaşar Zorlu
author_sort Yıldız Arslan
collection DOAJ
description INTRODUCTION: Patients with pain or numbness without motor deficits are the most common group referred to electrophysiology laboratories as suspected radiculopathy. We wanted to investigate whether electromyography (EMG) was useful for this group in the diagnosis or therapy of radiculopathy. Our aim was to investigate the correlation and classification of EMG and magnetic resonance imaging (MRI) findings in the diagnosis of suspected radiculopathy. METHODS: We included 74 patients with a ≥2-month history of numbness and pain in the neck and back that radiated into the arm or leg. Patients with diabetes mellitus, previous disc or spine operation, polyneuropathy, spinal cord diseases (tumor, infection or syrinxs), motor deficits, and abnormal nerve conduction studies were excluded. RESULTS: The mean age of the patients was 51.58±11.53 years. In total, 41 (55.4%) patients were women and 33 (44.6%) were men; 48.8% (n=36) showed cervical radiculopathy and 51.2% (n=38) exhibited lumbosacral radiculopathy. The most common MRI finding was protrusion (37.8%), and the most common EMG finding was re-innervation (59.5%). The correlation of MRI and EMG findings was significant in lumbar radiculopathy (p=0.007), but not in the cervical radiculopathy results (p=0.976). DISCUSSION AND CONCLUSION: EMG and MRI findings were compatible for lumbar radiculopathy, but not for cervical radiculopathy in mild to moderate grades.
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spelling doaj.art-31ea3df8f4a840fb99b7e7dda585912c2023-02-15T16:21:44ZengGalenos YayineviTürk Nöroloji Dergisi1301-062X2016-06-01222555910.4274/tnd.99896Correlation of Electromyography and Magnetic Resonance Imaging Findings in the Diagnosis of Suspected RadiculopathyYıldız Arslan0Ebru Yaşar1Yaşar Zorlu2Tepecik Training and Research Hospital, Clinic of Neurology, İzmir, TurkeyŞevket Yılmaz Training and Research Hospital, Clinic of Neurology, Bursa, TurkeyTepecik Training and Research Hospital, Clinic of Neurology, İzmir, TurkeyINTRODUCTION: Patients with pain or numbness without motor deficits are the most common group referred to electrophysiology laboratories as suspected radiculopathy. We wanted to investigate whether electromyography (EMG) was useful for this group in the diagnosis or therapy of radiculopathy. Our aim was to investigate the correlation and classification of EMG and magnetic resonance imaging (MRI) findings in the diagnosis of suspected radiculopathy. METHODS: We included 74 patients with a ≥2-month history of numbness and pain in the neck and back that radiated into the arm or leg. Patients with diabetes mellitus, previous disc or spine operation, polyneuropathy, spinal cord diseases (tumor, infection or syrinxs), motor deficits, and abnormal nerve conduction studies were excluded. RESULTS: The mean age of the patients was 51.58±11.53 years. In total, 41 (55.4%) patients were women and 33 (44.6%) were men; 48.8% (n=36) showed cervical radiculopathy and 51.2% (n=38) exhibited lumbosacral radiculopathy. The most common MRI finding was protrusion (37.8%), and the most common EMG finding was re-innervation (59.5%). The correlation of MRI and EMG findings was significant in lumbar radiculopathy (p=0.007), but not in the cervical radiculopathy results (p=0.976). DISCUSSION AND CONCLUSION: EMG and MRI findings were compatible for lumbar radiculopathy, but not for cervical radiculopathy in mild to moderate grades.http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-99896Suspected radiculopathyelectromyographymagnetic resonance imaging
spellingShingle Yıldız Arslan
Ebru Yaşar
Yaşar Zorlu
Correlation of Electromyography and Magnetic Resonance Imaging Findings in the Diagnosis of Suspected Radiculopathy
Türk Nöroloji Dergisi
Suspected radiculopathy
electromyography
magnetic resonance imaging
title Correlation of Electromyography and Magnetic Resonance Imaging Findings in the Diagnosis of Suspected Radiculopathy
title_full Correlation of Electromyography and Magnetic Resonance Imaging Findings in the Diagnosis of Suspected Radiculopathy
title_fullStr Correlation of Electromyography and Magnetic Resonance Imaging Findings in the Diagnosis of Suspected Radiculopathy
title_full_unstemmed Correlation of Electromyography and Magnetic Resonance Imaging Findings in the Diagnosis of Suspected Radiculopathy
title_short Correlation of Electromyography and Magnetic Resonance Imaging Findings in the Diagnosis of Suspected Radiculopathy
title_sort correlation of electromyography and magnetic resonance imaging findings in the diagnosis of suspected radiculopathy
topic Suspected radiculopathy
electromyography
magnetic resonance imaging
url http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-99896
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AT yasarzorlu correlationofelectromyographyandmagneticresonanceimagingfindingsinthediagnosisofsuspectedradiculopathy