10/29/2020 8:19:01 AM
Delayed sural and absent H reflexx
I have a 44 year old male with no PMH who was referred to rule out radiculopathy. His MRI demonstrates foraminal narrowing on the opposite leg, the left, but nothing notable on the right.
He definitely was enhancing his discomfort because of the continued pain in spite of pain management and multiple doctors attempting management with limited success.
His NCV demonstrated delayed surals in the ball park of 5.2. He had absent H reflexes bilaterally. The remainder of the sensory and motor NCV was WNL. His EMG was within normal.
I am just wondering if there is a diagnosis or further work up that would be warranted from this?
Thank you in advance.