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首页> 外文期刊>Journal of Dhaka Medical College >Role of Electromyography in Diagnosis of Clinically Suspected Cases of Amyotrophic Lateral Sclerosis (ALS): Experience from a Tertiary Care Hospital in Bangladesh
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Role of Electromyography in Diagnosis of Clinically Suspected Cases of Amyotrophic Lateral Sclerosis (ALS): Experience from a Tertiary Care Hospital in Bangladesh

机译：肌电图在肌萎缩性侧索硬化症（ALS）临床疑似病例诊断中的作用：孟加拉国三级医院的经验

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摘要

This cross sectional observational study was carried out in the department of Neurology, Dhaka Medical College and Hospital (DMCH), Dhaka, On 42 Patients of Amyotrophic Lateral Sclerosis (ALS) to find out their clinical and electrophysiological profiles, as well as to study the correlation between clinical presentation and electrophysiological findings. The mean age was found 44.64± 16.4 years. Majority of the patients were males.The mean duration of illness was found to be 1.33±0.53 Years and majority 35(83.3%) of the patients suffered from illness for 1- 2 years. Most 57.1% of the patients had upper limb onset, whereas 33.3% had lower limb onset and 9.5% had bulbar onset, muscle wasting, weakness and fasciculations were the most frequent presenting features. Clinically number of definite, probable and possible ALS cases were 4 (9.5%), 11 (26.2%) and 27 (64.3%) respectively. After doing electromyography, the definite cases increased 40(95.3%) significantly among which 29 cases did not have LMN features in e 3 regions clinically. Finally, this study reveals that the diagnostic yield is significantly higher with combine clinical and electrophyiological features compare to clinical feature alone for diagnosis definite ALS cases.
机译：这项横断面观察研究是在达卡的达卡医学院附属医院和神经科（DMCH）进行的，对42例肌萎缩性侧索硬化症（ALS）患者进行了临床和电生理检查，并对其进行了研究。临床表现与电生理结果之间的相关性。平均年龄为44.64±16.4岁。多数患者为男性，平均病程为1.33±0.53岁，其中35岁（83.3％）的患者病情为1-2年。大多数患者中有57.1％患有上肢发作，而33.3％患有下肢发作，而9.5％患有延髓发作，肌肉消瘦，无力和束缚是最常见的表现。临床确诊，可能和可能的ALS病例数分别为4（9.5％），11（26.2％）和27（64.3％）。进行肌电图检查后，明确病例显着增加40例（95.3％），其中29例临床上在e 3区没有LMN特征。最后，这项研究表明，结合临床和电生理学特征，与确诊ALS的单独诊断相比，具有更高的诊断率。

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