Hiya, i haven’t posted for a while as been waiting for results and trying not to dwell on my symptoms too much, i waited 3 months for nerve conduction and emg tests and another month for the results to come through but i have absolutely no idea what they mean… and i have a feeling now all my neuro is going to focus on is my feet where i have problems elsewhere too any help in deciphering the neuro’s letter would be very much appreciated. Thanks … Ps. the letter has been scanned in and then copied and pasted so yes the grammar really was that bad
Mrs Greens nerve conduction studies are now available which despite normal nerve conduction studies show on the EMG frequent fasciculations in the right abductor hallucis that do not fire rhythmically and fasciculations in the right gastrocnemius but no spontaneous activities in the tibialis anterior and vastus lateralis. There are some mild changes of chronic denervation in the tib anterior and vastus lateralis and gastrocnemius but only minor changes of chronic denervation elsewhere. She has already undergone imaging of her C-spine and this was suggested to exclude chronic multi-level radicular problems. Therefore there is a question whether these fasciculations seen represent the possibility of a peripheral nerve hyperexcitability syndrome. I have already checked anti-voltage gated potassium channel antibodies and Acetycholine receptor antibodies which are associated with this.
Occasionally presynaptic ACH receptor antibodies can cause this problem and they are not routinely tested for and I will repeat those when I see her again and we have also tried reducing her SSRI to see if this was contributing.
She will have a soon review with me in clinic.