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Re: The value of elecromyography in infants + toddlers with CMT

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Wondering if EMG was banned from gitmo b/c it is sooo painful (was for me

anyways). We had Nick genetically tested - a simple blood test. Why not do

this? COST MAYBE?

I believe that it is barbaric to put a baby, toddler or child through this.

________________________________

From: " MommyToJase@... " <MommyToJase@...>

Sent: Saturday, August 29, 2009 3:30:51 PM

Subject: Re: The value of elecromyography in infants + toddlers with CMT

This is ridiculous to put babies through an EMG. Until they can cure CMT or

treat it I feel like this is mid evil torture.

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The idea of EMG done on an infant or toddler is horrifying! I saw some of the

other posts agreeing with this point of view and wanted to find the original

post. So, ok, I see that they are looking at hypotonia, which can be a symptom

of different neuro diseases -- at least one of which can be fatal. So, I guess I

understand better, but still! Poor babies!!

Holli

>

> Ann Phys Rehabil Med. 2009 Aug 18.

>

> The value of elecromyography in the aetiological diagnosis of hypotonia in

infants and toddlers.

>

> Cetin E, Cuisset JM, Tiffreau V, Vallée L, Hurtevent JF, Thevenon A.

>

> Physical Medicine and Rehabilitation department, Lille University Hospital,

André-Verhaghe street, 59037 Lille cedex, France.

>

> INTRODUCTION: During the first two years of life, hypotonia may be the only

symptom of a central or peripheral nervous system disorder. We propose to assess

the sensitivity of electroneuromyography (ENMG) in the aetiological diagnosis of

hypotonia of neuromuscular origin in infants and toddlers.

>

> METHOD: This is a retrospective, single-centre study with revision of the

files of the 37 children aged between zero and 24 months who, between 1994 and

2006, underwent an ENMG in the etiological approach of their hypotonia and had a

final diagnosis of neuromuscular disease.

>

> RESULTS: All the 13 patients with spinal muscular atrophy or Charcot

Marie-Tooth disease displayed neurogenic alterations on the electromyography

(EMG). Among the 24 children ultimately diagnosed with myopathies, five only

displayed myogenic alterations when tested before the age of two. Sixteen had

normal EMG results and three showed neurogenic alterations.

>

> DISCUSSION AND CONCLUSION: In infants presenting with hypotonia, ENMG is

useful for the diagnosis of peripheral neuropathy. Normal ENMG is relatively

common for confirmed muscle disorders in infants whereas myogenic alterations

seem more unusual, so that muscle biopsy appears unquestionable. In a few cases,

early onset myopathies may present with a neurogenic ENMG pattern. Such a result

should not invalidate the clinically presumed diagnosis of myopathy and would

indicate on the contrary the need for a muscle biopsy.

>

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