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What Does This EMG Report Indicate?
Question: Greetings, I've been seeing a Neurologist for several years for peripheral neuropahy. My most recent EMG test revealed in the conclusions that there is evidence for mild axonal sensory-motor peripheral neuropathy. What does this mean? Is there a disease associated with this conclusion?
Brief Answer:
There can be many causes of axonal sensory motor polyneuropathy.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
Axonal sensory motor polyneuropathy indicates in general terms,the damage to both the sensory and motor nerves.
No,it is not conclusive for any specific disease.In fact,there can be a long list of causes causing sensory motor axonal peripheral neuropathy.Some of the common causes are-
Diabetes
Infections
Vasculitis
Hereditary neuropathy
Guillain barre syndrome
Chronic inflammatory demyelinating neuropathy
Drugs and Toxins
Rare conditions like-porphyria
So,it can be associated with one of the above conditions.Please tell your history in detail and see if you can find some association with these causes.
Waiting for your follow-up question.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
There can be many causes of axonal sensory motor polyneuropathy.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
Axonal sensory motor polyneuropathy indicates in general terms,the damage to both the sensory and motor nerves.
No,it is not conclusive for any specific disease.In fact,there can be a long list of causes causing sensory motor axonal peripheral neuropathy.Some of the common causes are-
Diabetes
Infections
Vasculitis
Hereditary neuropathy
Guillain barre syndrome
Chronic inflammatory demyelinating neuropathy
Drugs and Toxins
Rare conditions like-porphyria
So,it can be associated with one of the above conditions.Please tell your history in detail and see if you can find some association with these causes.
Waiting for your follow-up question.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Greetings Doctor,
In 1980, I had a sports related injury and caused nerve damage to my left foot/toe. In 2007 I began experiencing shocking sensations in that area. In 2011, I was diagnosed with peripheral neuropathy. I thought this was solely based on my foot injury. I began taking gabapentin beginning with 300mg and up to 2400mg. This year I had sections of the nerve removed in my left foot/toe. I’m currently taking 900mg of gabapentin, hoping to reduce to zero at some point. My EMG’s (Sensory and Motor) done in 2012-2015 were basically the same. With one exception; my Left Sural Anti Sensory deceased from 42 to 34. The remaining numbers didn’t change, but were slightly below normal. In 2014, I was diagnosed with BFS (benign fasciculation syndrome).
My current neurologist policy prohibits providing any advice or answer questions over the phone. I’m anxious and wanted to know if the conclusion “Mild Axonal Sensory-Motor Peripheral Neuropathy” meant that I could have ALS or MS or something else terrible. If you need specific information, please let me know. Thank you.
In 1980, I had a sports related injury and caused nerve damage to my left foot/toe. In 2007 I began experiencing shocking sensations in that area. In 2011, I was diagnosed with peripheral neuropathy. I thought this was solely based on my foot injury. I began taking gabapentin beginning with 300mg and up to 2400mg. This year I had sections of the nerve removed in my left foot/toe. I’m currently taking 900mg of gabapentin, hoping to reduce to zero at some point. My EMG’s (Sensory and Motor) done in 2012-2015 were basically the same. With one exception; my Left Sural Anti Sensory deceased from 42 to 34. The remaining numbers didn’t change, but were slightly below normal. In 2014, I was diagnosed with BFS (benign fasciculation syndrome).
My current neurologist policy prohibits providing any advice or answer questions over the phone. I’m anxious and wanted to know if the conclusion “Mild Axonal Sensory-Motor Peripheral Neuropathy” meant that I could have ALS or MS or something else terrible. If you need specific information, please let me know. Thank you.
Brief Answer:
Its not MS or ALS.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.
Both sensory and motor involvement essentially rules out ALS.Otherwise also,ALS is a clinical diagnosis characterized by both upper and motor neuron signs,in absence of sensory loss.It is accompanied by widespread fasciculations and progress very rapidly.You are not having ALS.
MS is a disease of central nervous system and not of peripheral nerves.It is a relapsing and remitting like kind of illness,characterized by focal deficits and MRI abnormalities.So,this can't be a possibility here.
Hope that I have answered your query.If you have some further question,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Its not MS or ALS.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.
Both sensory and motor involvement essentially rules out ALS.Otherwise also,ALS is a clinical diagnosis characterized by both upper and motor neuron signs,in absence of sensory loss.It is accompanied by widespread fasciculations and progress very rapidly.You are not having ALS.
MS is a disease of central nervous system and not of peripheral nerves.It is a relapsing and remitting like kind of illness,characterized by focal deficits and MRI abnormalities.So,this can't be a possibility here.
Hope that I have answered your query.If you have some further question,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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