AANEM Connect
Join this vibrant community of professionals eager to exchange ideas, share resources, and engage in meaningful discussions. Use this platform as a sounding board to seek advice for navigating challenging cases or career decisions, and receive expert guidance from generous peers who want to help you succeed.
Normal nerve conduction study in small fiber neuropathy report.
I would like to explore what is recommended, or is the best to say when nerve conduction study are normal or with low normal sensory action potentials amplitude in a patient with clinical symptoms consistent with small fiber sensory neuropthy?. Is it enough to say a normal NCS may not exclude small fibers sensory neuropathy, or should additional comments such as " additional diagnostic studies such as skin biopsy or QSART test are suggested", or saying a follow-up NCS is advised.
This is a sensitive issue when the patient is referred only for NCS, and additional recommendations may possibly place the referring physician at odds. I know there is no standared answer or specific guidelines for this common issue that the electromyographer deals with frequently, and would like to explore the expert opinion.
In order to comment on posts and view posts in their entirety, please login with your AANEM member account information.
I enjoy participating in the AANEM Connect Forum for a number of reasons. There are very fundamental questions posed on a frequent basis that cause me to pause and ask myself, ‘Why didn’t I think of that?’ Also, I continue to learn new things when others contribute their thoughts and experiences. Connect is an excellent opportunity for members to interact and to address any topic, including those that may not be discussed at an annual meeting or journal article.
Daniel Dumitru, MD, PhD