American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM)

By AANEMMedicine Health & Fitness

American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) episodes

August 31, 2016 Sensory Neuronopathies
Dr. Justin Willer interviews Dr. Kelly Gwathmey about her article, Sensory Neuronopathies. The sensory neuronopathies (or ganglionopathies) are a small subcategory of neuropathies characterized by primary degeneration of the dorsal root ganglia and trigeminal ganglion sensory neurons, resulting in a distinctive clinical presentation. Patients typically have subacute onset of asymmetric, non–length-dependent sensory impairment and early ataxia. The etiologies of acquired sensory neuronopathies are rather limited. Early identification is imperative, as they may herald an underlying malignancy or an autoimmune condition such as Sjögren syndrome. This podcast reviews the Muscle and Nerve article on this subject. Muscle Nerve 53: 8–19, 2016.
26 min
March 25, 2016 Mutations in SEPT9 Cause Heredic Neuralgic Amyotrophy
Mutations in SEPT9 Cause Heredic Neuralgic Amyotrophy by Phillip Chance, MD and Mark Hannibal, MD
29 min
March 25, 2016 Critically re-evaluating a common technique: Accuracy, reliability, and confirmation bias of EMG
Dr. Stephen Goutman interviews Drs. Pushpa Narayanaswami and Seward Rutkove about their article Critically re-evaluating a common technique: Accuracy, reliability, and confirmation bias of EMG. This study supports that in evaluations of radiculopathy (1) serial EMG studies should be performed by the same electromyographer since intrarater reliability is better than interrater reliability; (2) knowledge of clinical information does not bias EMG interpretation substantially, (3) EMG has moderate diagnostic accuracy for radiculopathy with modest specificity and electromyographers should exercise caution interpreting mild abnormalities. Neurology. 2016 Jan 19:86(3):218-23.
29 min
March 25, 2016 Critically re-evaluating a common technique: Accuracy, reliability, and confirmation bias of EMG
Dr. Stephen Goutman interviews Drs. Pushpa Narayanaswami and Seward Rutkove about their article Critically re-evaluating a common technique: Accuracy, reliability, and confirmation bias of EMG. This study supports that in evaluations of radiculopathy (1) serial EMG studies should be performed by the same electromyographer since intrarater reliability is better than interrater reliability; (2) knowledge of clinical information does not bias EMG interpretation substantially, (3) EMG has moderate diagnostic accuracy for radiculopathy with modest specificity and electromyographers should exercise caution interpreting mild abnormalities. Neurology. 2016 Jan 19:86(3):218-23.
29 min
March 24, 2016 Critically re-evaluating a common technique: Accuracy, reliability, and confirmation bias of EMG
Dr. Stephen Goutman interviews Drs. Pushpa Narayanaswami and Seward Rutkove about their article Critically re-evaluating a common technique: Accuracy, reliability, and confirmation bias of EMG. This study supports that in evaluations of radiculopathy (1) serial EMG studies should be performed by the same electromyographer since intrarater reliability is better than interrater reliability; (2) knowledge of clinical information does not bias EMG interpretation substantially, (3) EMG has moderate diagnostic accuracy for radiculopathy with modest specificity and electromyographers should exercise caution interpreting mild abnormalities. Neurology. 2016 Jan 19:86(3):218-23.
29 min
February 24, 2016 Can Mycophenolate Mofetil be Tapered Safely in MG. A Retrospective, Multicenter Analysis
Dr. Justin Willer interviews Dr. Lisa Hobson Webb about her Muscle and Nerve article on safely tapering mycophenolate mofetil in myasthenia gravis patients. MMF is frequently used to treat patients with MG but there is little information to guide clinicians on the safety of reducing the dose in well-controlled patients. Discussion includes standard dosages, determining clinical response to MMF and suggested goals in tapering MMF. Muscle Nerve. 2015 Aug;52:211-5. doi: 10.1002 mus.24694. Epub 2015 Jun 18.
25 min
February 19, 2016 Can Mycophenolate Mofetil be Tapered Safely in MG. A Retrospective, Multicenter Analysis
Dr. Justin Willer interviews Dr. Lisa Hobson Webb about her Muscle and Nerve article on safely tapering mycophenolate mofetil in myasthenia gravis patients. MMF is frequently used to treat patients with MG but there is little information to guide clinicians on the safety of reducing the dose in well-controlled patients. Discussion includes standard dosages, determining clinical response to MMF and suggested goals in tapering MMF. Muscle Nerve. 2015 Aug;52:211-5. doi: 10.1002 mus.24694. Epub 2015 Jun 18.
26 min
February 19, 2016 Can Mycophenolate Mofetil be Tapered Safely in MG. A Retrospective, Multicenter Analysis
Dr. Justin Willer interviews Dr. Lisa Hobson Webb about her Muscle and Nerve article on safely tapering mycophenolate mofetil in myasthenia gravis patients. MMF is frequently used to treat patients with MG but there is little information to guide clinicians on the safety of reducing the dose in well-controlled patients. Discussion includes standard dosages, determining clinical response to MMF and suggested goals in tapering MMF. Muscle Nerve. 2015 Aug;52:211-5. doi: 10.1002 mus.24694. Epub 2015 Jun 18.
26 min
February 08, 2016 Paraproteinemic Neuropathies
Dr. Justin Willer interviews Dr. Divisha Raheja about her Muscle and Nerve article on paraproteinemic neuropathies. When the neuropathy is the presenting feature, neuromuscular specialists can play a particularly important role, possibly uncovering clinical, laboratory, radiologic, electrodiagnostic, or biopsy findings that lead to identification of the underlying paraproteinemia. Dr. Raheja offers suggestions on when testing should be done, elaborating on the various types of testing as well as treatments. Muscle Nerve. 2015 Jan;51:1-13. doi: 10.1002 mus.24471.
29 min
February 05, 2016 Paraproteinemic Neuropathies
Paraproteinemic Neuropathies
29 min

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