- Needle EMG of upper limb showed denervation potentials in the left biceps and bilateral first dorsal interosseous. Left upper limb showed neurogenic polyphasic MUAPs in all sampled muscles. Recruitment pattern was reduced with more reduction in distal muscles. Right side showed few polyphasic in extensor digitorum and first dorsal interosseous. Right deltoid was mostly unremarkable.
Needle EMG Summary | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Muscle | Root | Ins. Act | Fibs. | PSW | Fascics. | Polyp. | MU amp. | MU Dur. | Pattern | Recruit |
Left | ||||||||||
Deltoid | Axillary C5-C6 | Nor | 0 | 0 | 0 | ++ | + | ++ | Reduced | Mod. Redu |
Biceps Brachi | Musculocut C5-C6 | Nor | 1+ | 0 | 0 | ++ | + | ++ | Reduced | Mod. Redu |
Triceps | Radial C6-C7 | Nor | 0 | 0 | 0 | ++ | + | + | Reduced | Mod. Redu |
Ext Dig. Com | Post Inter C7-C8 | Nor | 0 | 0 | 0 | ++ | + | ++ | Reduced | Severe Redu |
First Dors. Int | Ulnar C7-T1 | Nor | 1+ | 1+ | 0 | + | + | + | Reduced | Poor Activation |
Right | ||||||||||
Deltoid | Axillary C5-C6 | Nor | 0 | 0 | 0 | + | + | + | Full | Normal |
Ext. Dig. Com | Post Inter C7-C8 | Nor | 0 | 0 | 0 | ++ | ++ | + | Full | Normal |
First Dors. Int | Ulnar C7-T1 | Nor | 1+ | 0 | 0 | ++ | ++ | + | Full | Normal |
PSW - Positive sharp waves, MU -Motor unit, EMG - Electromyography, MUAPs - Motor unit action potentials