AANEM Connect
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Botox and EMG
I performed EMG with nerve conduction study on a lady who is treated regularly with Botox for dystonia due to Parkinsonism. From an electrical standpoint she had L5-S1 radiculopathy, With fibrillations and positive sharp waves in limb muscles, as well as the paraspinous musculature. I do not know what muscles are injected with Botox (she receives it at a different institution) So I do not know what percentage of electrical changes could be due to Botox. Proximal muscles that are involved make me comfortable diagnosing radiculopathy, but I felt a little uncertain with some of the distal findings. How much of a concern do you think this is, and how do you handle this?
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