In clinical examination you determine the site of the lesion by assessing the distribution of weakness, reflex changes, and sensory loss. However, neurophysiology is very definitely used in the same way as clinical examination to solve clinical problems, and complements the clinical evaluation rather than replacing it. These observations may seem implausible to those who do not perform these tests and view electrodiagnostic tests as a “black box” from which answers magically appear. ![]() ![]() NCS/EMG are an extension of the clinical assessment. The tests do not replace a careful history and examination of the patient Very early on in just about every textbook or article on NCS/EMG the following two observations are made: ELECTRODIAGNOSTIC STUDIES ARE AN EXTENSION OF CLINICAL EXAMINATION
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