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Correspondence
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Volume 358:2647-2648 June 12, 2008 Number 24
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Lumbar Spinal Stenosis

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 by Katz, J. N.
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To the Editor: As Katz and Harris (Feb. 21 issue)1 note, electromyography is not routinely necessary in the diagnostic workup of spinal stenosis. However, a complete electrodiagnostic examination (i.e., nerve-conduction studies and electromyography) can often be quite helpful in differentiating symptoms related to spinal stenosis from those due to a peripheral neuropathy. In general, a patient with clinically significant spinal stenosis will have electromyographic evidence of multilevel lumbosacral radiculopathies with essentially normal nerve-conduction studies, whereas a patient with clinically significant peripheral neuropathy will have just the opposite findings (i.e., abnormal nerve-conduction studies and normal electromyography).2 Even when both disorders are . . . [Full Text of this Article]




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