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Muscle Nerve. 2020 Feb;61(2):143-155. doi: 10.1002/mus.26752.

Utility and practice of electrodiagnostic testing in the pediatric population: An AANEM consensus statement.

Author information

1
Division of Pediatric Neurology, Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida.
2
Department of Neurology, University of Florida College of Medicine, Gainesville, Florida.
3
Department of Pediatrics, University of Ottawa and Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
4
Department of Pediatrics, Northwestern University Feinberg School of Medicine and Lurie Children's Hospital, Chicago, Illinois.
5
National Institute of Neurological Disorders and Stroke, Bethesda, Maryland.
6
Functional and Applied Biomechanics Section, Rehabilitation Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland.
7
Inova Neuroscience and Spine Institute, Inova Fairfax Hospital, Falls Church, Virginia.
8
Centre de Référence Maladies Neuromusculaires, Service de Neurologie, Réanimation et Réeducation Pédiatriques, Hôpital Raymond Poincaré, Garches, France.

Abstract

Nerve conduction studies and needle electromyography, collectively known as electrodiagnostic (EDX) studies, have been available for pediatric patients for decades, but the accessibility of this diagnostic modality and the approach to testing vary significantly depending on the physician and institution. The maturation of molecular diagnostic approaches and other diagnostic technologies such as neuromuscular ultrasound indicate that an analysis of current needs and practices for EDX studies in the pediatric population is warranted. The American Association of Neuromuscular & Electrodiagnostic Medicine convened a consensus panel to perform literature searches, share collective experiences, and develop a consensus statement. The panel found that electrodiagnostic studies continue to have high utility for the diagnosis of numerous childhood neuromuscular disorders, and that standardized approaches along with the use of high-quality reference values are important to maximize the diagnostic yield of these tests in infants, children, and adolescents.

KEYWORDS:

adolescents; children; electrodiagnostic medicine; electromyography; infants; neuromuscular disorders; pediatric

PMID:
31724199
DOI:
10.1002/mus.26752

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