Electromyogram (EMG) and Nerve Conduction StudiesEMG (Electromyography), Nerve Conduction Studies What To Think About- The levels of some
enzymes in the blood, such as aspartate
aminotransferase (AST), lactate dehydrogenase (LDH), and creatine phosphokinase
(CPK), may rise when muscle tissue is damaged. An electromyogram can cause
higher levels of these enzymes for up to 10 days after the EMG, so blood tests
for these enzymes should not be done for 5 to 10 days after an
EMG.
- Special types of electromyograms (EMG) may also be done:
- Single-fiber EMG is a special type of EMG
test. For this test, very small needles are inserted into a muscle to see how a
single muscle fiber contracts. It is a useful test for
myasthenia gravis, a disease that affects the
nerve-muscle (neuromuscular) junctions.
- Repetitive nerve
stimulation is a useful test for myasthenia gravis and
Lambert-Eaton syndrome. In this test, small, repeated
shocks are given to measure how the muscle reacts to repeated nerve
stimulation.
- External sphincter electromyogram measures the
electrical activity of the external urinary sphincter to help find urination
problems. The urinary sphincter is a ringlike band of muscles around the
urethra that helps control urination. The electrical
activity can be measured by skin electrodes, by needle electrodes inserted
through the skin, or by electrodes in an anal plug.
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